Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,576.00 / $17,030.00	Facility		$462.00	$5,576.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $163.97 / $700.95	Professional		$107.26	$163.97	$700.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $191.96 / $416.74	Professional		$124.26	$191.96	$416.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,300.60	Facility		$66.00	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $178.09 / $370.58	Professional		$100.00	$178.09	$370.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $182.05 / $452.80	Professional		$113.05	$182.05	$452.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $148.36 / $243.55	Professional		$117.65	$148.36	$243.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.40 / $179.33 / $309.98	Professional		$115.40	$179.33	$309.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $524.32 / $569.29 / $16,394.00	Facility		$524.32	$569.29	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $818.32 / $1,379.40 / $1,633.16	Professional		$818.32	$1,379.40	$1,633.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $174.93 / $291.82	Facility		$103.89	$174.93	$291.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.05 / $193.89 / $416.68	Professional		$114.05	$193.89	$416.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $357.09 / $357.09 / $521.79	Professional		$357.09	$357.09	$521.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $185.21 / $535.41	Professional		$125.10	$185.21	$535.41