Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.58 / $5,382.00 / $17,013.00	Facility		$753.58	$5,382.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $57.38 / $202.70	Professional		$49.19	$57.38	$202.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,464.00 / $8,976.00	Facility		$1,759.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $90.21 / $167.12	Professional		$60.97	$90.21	$167.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,122.07	Facility		$66.09	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $64.13 / $141.69	Professional		$47.23	$64.13	$141.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $495.00 / $1,404.00	Facility		$57.01	$495.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $68.93 / $137.80	Professional		$51.41	$68.93	$137.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $54.10 / $73.04	Professional		$35.36	$54.10	$73.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $58.32 / $119.12	Professional		$44.65	$58.32	$119.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,224.68 / $1,344.10	Facility		$55.00	$1,224.68	$1,344.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $478.82 / $478.82 / $478.82	Professional		$478.82	$478.82	$478.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $71.56	Professional		$32.34	$32.34	$71.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $65.06 / $110.26	Facility		$50.41	$65.06	$110.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $76.09 / $134.21	Professional		$53.08	$76.09	$134.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $167.10 / $167.10	Professional		$167.10	$167.10	$167.10
United Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $1,481.00 / $6,703.00	Facility		$534.00	$1,481.00	$6,703.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $56.67 / $112.05	Professional		$42.44	$56.67	$112.05