Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.26 / $8,499.00 / $22,262.00	Facility		$1,180.26	$8,499.00	$22,262.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $197.12 / $1,013.03	Professional		$162.93	$197.12	$1,013.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,790.00 / $13,326.00	Facility		$1,450.00	$6,790.00	$13,326.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.73 / $248.67 / $494.12	Professional		$189.73	$248.67	$494.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $9,241.04	Facility		$67.90	$100.00	$9,241.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $150.57 / $224.11 / $508.56	Professional		$150.57	$224.11	$508.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,761.60 / $4,904.76	Facility		$633.00	$1,761.60	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.82 / $262.10 / $571.67	Professional		$190.82	$262.10	$571.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $243.02 / $328.08	Professional		$118.02	$243.02	$328.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.02 / $258.07 / $537.00	Professional		$196.02	$258.07	$537.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,117.32 / $7,909.30 / $26,542.00	Facility		$1,117.32	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.44 / $1,496.64 / $1,705.95	Professional		$1,461.44	$1,496.64	$1,705.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $285.55	Professional		$32.34	$32.34	$285.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.59 / $263.55 / $388.83	Facility		$196.59	$263.55	$388.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.09 / $285.18 / $530.15	Professional		$195.09	$285.18	$530.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $632.66 / $632.66 / $632.66	Professional		$632.66	$632.66	$632.66
United Facility/Professional Facility Modifier Low / Median / High Price $977.00 / $6,862.00 / $14,636.00	Facility		$977.00	$6,862.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $209.32 / $476.98	Professional		$153.11	$209.32	$476.98