Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.12 / $5,178.00 / $17,054.00	Facility		$250.12	$5,178.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $238.68 / $850.64	Professional		$108.29	$238.68	$850.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $187.10 / $438.01	Professional		$100.61	$187.10	$438.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $113.39 / $188.53 / $387.10	Professional		$113.39	$188.53	$387.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $900.00 / $2,217.85	Facility		$339.00	$900.00	$2,217.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $218.55 / $512.41	Professional		$116.19	$218.55	$512.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $182.87 / $371.25	Professional		$135.46	$182.87	$371.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $220.98 / $403.87	Professional		$113.50	$220.98	$403.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $756.96 / $781.32 / $12,000.00	Facility		$756.96	$781.32	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $797.72 / $1,521.76 / $1,790.85	Professional		$797.72	$1,521.76	$1,790.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $283.42	Professional		$32.34	$32.34	$283.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.78 / $193.38 / $347.41	Facility		$111.78	$193.38	$347.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $240.45 / $546.04	Professional		$121.32	$240.45	$546.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $357.56 / $357.56 / $703.78	Professional		$357.56	$357.56	$703.78
United Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $3,772.00 / $9,072.00	Facility		$705.00	$3,772.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $220.89 / $540.30	Professional		$161.19	$220.89	$540.30