Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.76 / $9,674.00 / $22,788.00	Facility		$265.76	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.93 / $271.27 / $1,404.21	Professional		$225.93	$271.27	$1,404.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $5,291.07 / $13,707.00	Facility		$1,546.00	$5,291.07	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.94 / $355.05 / $718.42	Professional		$266.94	$355.05	$718.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $207.67 / $304.57 / $691.37	Professional		$207.67	$304.57	$691.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.51 / $750.00 / $5,431.00	Facility		$310.51	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $349.29 / $810.39	Professional		$256.74	$349.29	$810.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $280.22 / $308.24 / $378.30	Professional		$280.22	$308.24	$378.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.39 / $320.45 / $592.50	Professional		$242.39	$320.45	$592.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $657.96 / $1,279.27	Facility		$55.00	$657.96	$1,279.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.64 / $1,946.16 / $2,335.05	Professional		$1,900.64	$1,946.16	$2,335.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.83 / $326.31 / $510.50	Facility		$254.83	$326.31	$510.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.81 / $381.04 / $730.48	Professional		$257.81	$381.04	$730.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $871.28 / $871.28 / $871.28	Professional		$871.28	$871.28	$871.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.54 / $290.83 / $637.77	Professional		$216.54	$290.83	$637.77