Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.04 / $4,932.00 / $16,713.00	Facility		$481.04	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $404.16 / $1,466.47	Professional		$88.27	$404.16	$1,466.47
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 $126.26 / $569.75 / $1,260.33	Professional		$126.26	$569.75	$1,260.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,305.65	Facility		$65.80	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $317.88 / $762.68	Professional		$96.08	$317.88	$762.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.81 / $419.81 / $496.13	Facility		$419.81	$419.81	$496.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $334.96 / $877.28	Professional		$94.83	$334.96	$877.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $386.45 / $570.88	Professional		$83.74	$386.45	$570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $284.43 / $643.67	Professional		$78.77	$284.43	$643.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $454.90 / $463.75	Facility		$55.00	$454.90	$463.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.32 / $2,622.00 / $3,076.13	Professional		$1,305.32	$2,622.00	$3,076.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.91 / $372.46 / $625.12	Facility		$88.91	$372.46	$625.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $291.52 / $906.14	Professional		$96.33	$291.52	$906.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $297.50 / $297.50 / $1,465.99	Professional		$297.50	$297.50	$1,465.99
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 $357.87 / $507.78 / $1,124.10	Professional		$357.87	$507.78	$1,124.10