Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.10 / $9,674.00 / $22,788.00	Facility		$233.10	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $233.10 / $1,207.05	Professional		$201.08	$233.10	$1,207.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,464.00 / $10,705.00	Facility		$873.00	$4,464.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.04 / $305.30 / $614.89	Professional		$234.04	$305.30	$614.89
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 $178.08 / $261.80 / $603.79	Professional		$178.08	$261.80	$603.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $750.00 / $5,431.00	Facility		$267.61	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $296.58 / $648.37	Professional		$225.77	$296.58	$648.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $265.17 / $325.43	Professional		$241.06	$265.17	$325.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $277.99 / $515.09	Professional		$208.49	$277.99	$515.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $566.00 / $1,100.39	Facility		$55.00	$566.00	$1,100.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,660.13 / $1,675.20 / $2,008.35	Professional		$1,660.13	$1,675.20	$2,008.35
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 $219.91 / $283.01 / $437.80	Facility		$219.91	$283.01	$437.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $319.77 / $628.04	Professional		$229.41	$319.77	$628.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $748.94 / $748.94 / $748.94	Professional		$748.94	$748.94	$748.94
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 $188.95 / $255.21 / $555.90	Professional		$188.95	$255.21	$555.90