Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.62 / $4,988.24 / $17,328.00	Facility		$289.62	$4,988.24	$17,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $241.00 / $889.98	Professional		$144.41	$241.00	$889.98
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 $151.02 / $244.48 / $517.88	Professional		$151.02	$244.48	$517.88
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 $149.47 / $213.53 / $475.14	Professional		$149.47	$213.53	$475.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.11 / $447.57 / $1,404.00	Facility		$232.11	$447.57	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $268.38 / $582.82	Professional		$156.44	$268.38	$582.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $257.60 / $425.49	Professional		$175.84	$257.60	$425.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $266.74 / $484.98	Professional		$150.07	$266.74	$484.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,007.04 / $1,036.38	Facility		$55.00	$1,007.04	$1,036.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.40 / $1,849.76 / $2,169.60	Professional		$1,062.40	$1,849.76	$2,169.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $217.39	Professional		$32.34	$32.34	$217.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.88 / $249.10 / $411.43	Facility		$150.88	$249.10	$411.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $295.30 / $640.03	Professional		$163.19	$295.30	$640.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $477.22 / $477.22 / $848.69	Professional		$477.22	$477.22	$848.69
United Facility/Professional Facility Modifier Low / Median / High Price $740.00 / $3,964.00 / $9,131.00	Facility		$740.00	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.10 / $271.08 / $627.01	Professional		$196.10	$271.08	$627.01