Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.30 / $4,932.00 / $17,133.00	Facility		$364.30	$4,932.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $251.24 / $801.34	Professional		$110.09	$251.24	$801.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,785.00 / $9,596.00	Facility		$1,787.00	$4,785.00	$9,596.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $368.10 / $657.46	Professional		$170.24	$368.10	$657.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $254.75 / $519.84	Professional		$129.38	$254.75	$519.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $218.45 / $471.21	Professional		$109.96	$218.45	$471.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $108.92 / $306.72	Professional		$86.37	$108.92	$306.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.06 / $187.07 / $307.08	Professional		$82.06	$187.07	$307.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $475.15 / $487.00 / $12,000.00	Facility		$475.15	$487.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,603.00 / $2,322.16 / $2,322.16	Professional		$1,603.00	$2,322.16	$2,322.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.47 / $216.60 / $484.16	Facility		$98.47	$216.60	$484.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $222.83 / $494.78	Professional		$110.04	$222.83	$494.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $275.30 / $275.30 / $625.13	Professional		$275.30	$275.30	$625.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,761.00 / $11,305.00	Facility		$1,407.00	$2,761.00	$11,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $257.24 / $558.16	Professional		$155.15	$257.24	$558.16