Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.77 / $4,941.00 / $17,013.00	Facility		$349.77	$4,941.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $265.54 / $483.36	Professional		$86.73	$265.54	$483.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $12,615.00	Facility		$2,143.00	$5,863.00	$12,615.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $397.70 / $695.32	Professional		$133.66	$397.70	$695.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $243.40 / $553.95	Professional		$102.66	$243.40	$553.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.91 / $798.91 / $944.16	Facility		$798.91	$798.91	$944.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $164.13 / $456.20	Professional		$96.33	$164.13	$456.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $95.30 / $886.66	Professional		$68.50	$95.30	$886.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $108.96 / $205.41	Professional		$85.77	$108.96	$205.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $500.56 / $3,586.95 / $12,000.00	Facility		$500.56	$3,586.95	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.00 / $2,500.00 / $2,500.00	Professional		$1,374.00	$2,500.00	$2,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.52 / $152.80 / $520.02	Facility		$92.52	$152.80	$520.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $164.13 / $448.95	Professional		$96.33	$164.13	$448.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $299.92 / $299.92 / $299.92	Professional		$299.92	$299.92	$299.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,753.00 / $11,305.00	Facility		$1,371.00	$2,753.00	$11,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $176.88 / $421.83	Professional		$77.72	$176.88	$421.83