Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.94 / $9,639.00 / $20,509.00	Facility		$200.94	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $200.94 / $1,057.01	Professional		$190.45	$200.94	$1,057.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,104.00 / $18,150.00	Facility		$4,108.00	$9,104.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.48 / $417.71 / $743.88	Professional		$300.48	$417.71	$743.88
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 $171.03 / $244.48 / $553.16	Professional		$171.03	$244.48	$553.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.50 / $254.17 / $657.42	Professional		$205.50	$254.17	$657.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $206.23 / $247.48	Professional		$142.59	$206.23	$247.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.24 / $240.76 / $444.00	Professional		$188.24	$240.76	$444.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $456.59 / $946.91	Facility		$55.00	$456.59	$946.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,424.48 / $1,462.40 / $1,723.35	Professional		$1,424.48	$1,462.40	$1,723.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.94 / $244.71 / $332.21	Facility		$193.94	$244.71	$332.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.86 / $254.17 / $588.11	Professional		$199.86	$254.17	$588.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $655.84 / $655.84 / $655.84	Professional		$655.84	$655.84	$655.84
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 $170.24 / $253.06 / $536.29	Professional		$170.24	$253.06	$536.29