Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $5,322.00 / $17,013.00	Facility		$873.00	$5,322.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $113.79 / $437.93	Professional		$95.82	$113.79	$437.93
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 $108.44 / $193.62 / $336.46	Professional		$108.44	$193.62	$336.46
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 $91.46 / $121.82 / $275.20	Professional		$91.46	$121.82	$275.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $633.00 / $1,404.00	Facility		$110.57	$633.00	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.26 / $139.36 / $279.02	Professional		$104.26	$139.36	$279.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $105.59 / $142.55	Professional		$91.96	$105.59	$142.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $114.46 / $223.00	Professional		$87.38	$114.46	$223.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $434.44 / $468.21	Facility		$55.00	$434.44	$468.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $708.16 / $729.92 / $780.68	Professional		$708.16	$729.92	$780.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.29 / $119.26 / $168.83	Facility		$97.29	$119.26	$168.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.99 / $153.82 / $263.55	Professional		$105.99	$153.82	$263.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $333.30 / $333.30 / $333.30	Professional		$333.30	$333.30	$333.30
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,506.00 / $6,920.00	Facility		$587.00	$1,506.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $117.42 / $247.80	Professional		$82.04	$117.42	$247.80