Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $5,980.00 / $16,973.00	Facility		$550.00	$5,980.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $242.03 / $827.80	Professional		$147.36	$242.03	$827.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $263.33 / $611.27	Professional		$164.28	$263.33	$611.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,720.31	Facility		$66.70	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $265.41 / $527.22	Professional		$141.16	$265.41	$527.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.11 / $471.68 / $1,111.23	Facility		$399.11	$471.68	$1,111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $252.25 / $561.44	Professional		$151.38	$252.25	$561.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $268.08 / $361.92	Professional		$164.36	$268.08	$361.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $237.35 / $406.22	Professional		$147.91	$237.35	$406.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $681.40 / $720.15 / $16,394.00	Facility		$681.40	$720.15	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.88 / $1,672.81 / $1,847.93	Professional		$1,060.88	$1,672.81	$1,847.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.46 / $230.44 / $399.11	Facility		$131.46	$230.44	$399.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $270.70 / $554.76	Professional		$152.99	$270.70	$554.76
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,957.00 / $3,957.00 / $3,957.00	Facility		$3,957.00	$3,957.00	$3,957.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $473.05 / $473.05 / $727.90	Professional		$473.05	$473.05	$727.90
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 $181.60 / $262.73 / $725.29	Professional		$181.60	$262.73	$725.29