Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.85 / $5,322.00 / $17,013.00	Facility		$996.85	$5,322.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $186.34 / $686.71	Professional		$103.90	$186.34	$686.71
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 $160.02 / $203.70 / $401.01	Professional		$160.02	$203.70	$401.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,367.09	Facility		$65.80	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.47 / $336.12	Professional		$100.00	$141.47	$336.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $495.00 / $1,404.00	Facility		$193.75	$495.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $196.42 / $442.07	Professional		$115.68	$196.42	$442.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $184.32 / $248.83	Professional		$130.68	$184.32	$248.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.29 / $199.18 / $385.00	Professional		$152.29	$199.18	$385.00
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 $1,705.59 / $1,705.59 / $1,705.59	Professional		$1,705.59	$1,705.59	$1,705.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $124.40	Professional		$32.34	$32.34	$124.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.81 / $200.26 / $336.41	Facility		$139.81	$200.26	$336.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.58 / $222.73 / $451.95	Professional		$120.58	$222.73	$451.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $562.32 / $562.32 / $562.32	Professional		$562.32	$562.32	$562.32
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $1,481.00 / $6,703.00	Facility		$559.00	$1,481.00	$6,703.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $163.28 / $378.40	Professional		$108.50	$163.28	$378.40