Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.69 / $9,639.00 / $20,509.00	Facility		$135.69	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $135.69 / $668.57	Professional		$123.64	$135.69	$668.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,362.00 / $15,328.00	Facility		$2,629.00	$7,362.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.78 / $286.04 / $516.87	Professional		$183.78	$286.04	$516.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $116.92 / $179.60 / $378.52	Professional		$116.92	$179.60	$378.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $175.50 / $439.80	Professional		$134.60	$175.50	$439.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.05 / $144.16 / $170.37	Professional		$131.05	$144.16	$170.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $154.34 / $308.00	Professional		$119.82	$154.34	$308.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $317.47 / $1,989.02	Facility		$55.00	$317.47	$1,989.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,803.63 / $5,803.63 / $5,803.63	Professional		$5,803.63	$5,803.63	$5,803.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.03 / $190.02 / $440.00	Facility		$128.03	$190.02	$440.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $182.97 / $408.19	Professional		$134.60	$182.97	$408.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $414.82 / $414.82 / $414.82	Professional		$414.82	$414.82	$414.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $167.34 / $365.03	Professional		$110.78	$167.34	$365.03