Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $204.47 / $786.90	Professional		$124.21	$204.47	$786.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $231.34 / $537.54	Professional		$137.52	$231.34	$537.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $177.49 / $410.09	Professional		$124.24	$177.49	$410.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.04 / $237.59 / $559.75	Facility		$201.04	$237.59	$559.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $227.31 / $577.69	Professional		$133.00	$227.31	$577.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $223.12 / $331.19	Professional		$150.69	$223.12	$331.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.31 / $230.99 / $407.03	Professional		$132.31	$230.99	$407.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $847.38 / $869.10	Facility		$55.00	$847.38	$869.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $894.48 / $1,545.84 / $1,807.35	Professional		$894.48	$1,545.84	$1,807.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.70 / $193.20 / $342.38	Facility		$121.70	$193.20	$342.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $238.34 / $574.13	Professional		$133.55	$238.34	$574.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $409.85 / $409.85 / $706.78	Professional		$409.85	$409.85	$706.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.01 / $240.40 / $734.03	Professional		$167.01	$240.40	$734.03