Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.26 / $9,639.00 / $20,509.00	Facility		$244.26	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $74.39 / $362.30	Professional		$65.90	$74.39	$362.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.04 / $3,547.00 / $9,126.00	Facility		$964.04	$3,547.00	$9,126.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $120.80 / $228.33	Professional		$93.79	$120.80	$228.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $84.38 / $183.05	Professional		$59.07	$84.38	$183.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $84.17 / $198.97	Professional		$67.09	$84.17	$198.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $39.90 / $88.94	Professional		$31.65	$39.90	$88.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $82.20 / $155.72	Professional		$65.76	$82.20	$155.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $173.00 / $1,300.00	Facility		$55.00	$173.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $632.37 / $641.54 / $641.54	Professional		$632.37	$641.54	$641.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.16 / $94.09 / $135.66	Facility		$70.16	$94.09	$135.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $84.17 / $195.29	Professional		$67.09	$84.17	$195.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $224.80 / $224.80 / $224.80	Professional		$224.80	$224.80	$224.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,465.00 / $20,754.00	Facility		$1,836.00	$5,465.00	$20,754.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $81.80 / $195.77	Professional		$57.13	$81.80	$195.77