Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.09 / $9,639.00 / $20,509.00	Facility		$762.09	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.37 / $243.29 / $1,033.38	Professional		$217.37	$243.29	$1,033.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $10,983.00 / $22,417.00	Facility		$3,537.00	$10,983.00	$22,417.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.48 / $506.81 / $885.71	Professional		$366.48	$506.81	$885.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $224.72 / $321.02 / $692.67	Professional		$224.72	$321.02	$692.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.01 / $298.60 / $751.87	Professional		$242.01	$298.60	$751.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $172.75 / $234.10 / $280.92	Professional		$172.75	$234.10	$280.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $273.05 / $497.88	Professional		$213.00	$273.05	$497.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,909.53 / $2,358.63	Facility		$55.00	$1,909.53	$2,358.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.08 / $1,647.60 / $1,950.60	Professional		$1,608.08	$1,647.60	$1,950.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.06 / $276.89 / $377.12	Facility		$224.06	$276.89	$377.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.63 / $298.60 / $692.01	Professional		$239.63	$298.60	$692.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $737.73 / $737.73 / $737.73	Professional		$737.73	$737.73	$737.73
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 $199.51 / $301.74 / $765.59	Professional		$199.51	$301.74	$765.59