Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $20,509.00	Facility		$873.00	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.89 / $337.53 / $1,799.87	Professional		$294.89	$337.53	$1,799.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $4,473.59 / $9,596.00	Facility		$2,060.00	$4,473.59	$9,596.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.68 / $560.54 / $1,077.75	Professional		$427.68	$560.54	$1,077.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,403.01	Facility		$64.20	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $236.77 / $361.12 / $895.58	Professional		$236.77	$361.12	$895.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.65 / $444.45 / $1,315.96	Professional		$341.65	$444.45	$1,315.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $357.41 / $393.15 / $464.63	Professional		$357.41	$393.15	$464.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.60 / $417.27 / $740.45	Professional		$323.60	$417.27	$740.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,119.46 / $2,718.66	Facility		$55.00	$2,119.46	$2,718.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,441.60 / $2,511.36 / $2,687.40	Professional		$2,441.60	$2,511.36	$2,687.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $420.71 / $577.29	Facility		$327.20	$420.71	$577.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.65 / $444.45 / $969.92	Professional		$341.65	$444.45	$969.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,116.80 / $1,116.80 / $1,116.80	Professional		$1,116.80	$1,116.80	$1,116.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,243.00 / $10,979.00	Facility		$2,230.00	$4,243.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $399.10 / $1,201.80	Professional		$275.52	$399.10	$1,201.80