Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.55 / $9,639.00 / $20,509.00	Facility		$193.55	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.25 / $193.55 / $813.84	Professional		$175.25	$193.55	$813.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $8,971.00 / $18,030.00	Facility		$3,403.00	$8,971.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.70 / $400.41 / $697.75	Professional		$288.70	$400.41	$697.75
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 $189.95 / $271.35 / $587.23	Professional		$189.95	$271.35	$587.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.95 / $238.25 / $593.44	Professional		$190.95	$238.25	$593.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $184.76 / $221.71	Professional		$135.88	$184.76	$221.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.98 / $215.45 / $396.00	Professional		$167.98	$215.45	$396.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,839.64 / $2,264.67	Facility		$55.00	$1,839.64	$2,264.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.59 / $1,295.83 / $1,537.80	Professional		$1,267.59	$1,295.83	$1,537.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.68 / $218.37 / $297.63	Facility		$176.68	$218.37	$297.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.66 / $239.40 / $577.27	Professional		$192.66	$239.40	$577.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $582.86 / $582.86 / $582.86	Professional		$582.86	$582.86	$582.86
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 $155.44 / $235.84 / $654.64	Professional		$155.44	$235.84	$654.64