Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.55 / $4,932.00 / $16,713.00	Facility		$161.55	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $94.71 / $202.89	Professional		$30.57	$94.71	$202.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $97.88 / $245.43	Professional		$35.94	$97.88	$245.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,305.65	Facility		$66.00	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.02 / $86.98 / $170.33	Professional		$35.02	$86.98	$170.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.69 / $128.46 / $302.63	Facility		$108.69	$128.46	$302.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $98.92 / $294.32	Professional		$34.68	$98.92	$294.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $120.63 / $160.30	Professional		$37.19	$120.63	$160.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $99.50 / $193.94	Professional		$32.56	$99.50	$193.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $207.72 / $208.50	Facility		$55.00	$207.72	$208.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $747.00 / $820.59 / $848.63	Professional		$747.00	$820.59	$848.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $78.22 / $175.55	Facility		$34.54	$78.22	$175.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $98.92 / $281.62	Professional		$34.93	$98.92	$281.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $100.25 / $337.07	Professional		$100.25	$100.25	$337.07
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $125.18 / $390.22	Professional		$82.36	$125.18	$390.22