Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,342.00 / $17,133.00	Facility		$2,020.00	$6,342.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.75 / $394.33 / $1,889.91	Professional		$340.75	$394.33	$1,889.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.73 / $529.15 / $1,038.25	Professional		$403.73	$529.15	$1,038.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.12 / $355.73 / $866.65	Professional		$229.12	$355.73	$866.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,308.53 / $5,091.89 / $11,996.07	Facility		$4,308.53	$5,091.89	$11,996.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.55 / $468.68 / $1,429.67	Professional		$340.55	$468.68	$1,429.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.94 / $458.63 / $4,781.76	Professional		$416.94	$458.63	$4,781.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.44 / $476.37 / $854.70	Professional		$366.44	$476.37	$854.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,336.36 / $16,394.00 / $19,344.65	Facility		$1,336.36	$16,394.00	$19,344.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,638.56 / $2,691.92 / $3,029.85	Professional		$2,638.56	$2,691.92	$3,029.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.10 / $465.00 / $667.88	Facility		$361.10	$465.00	$667.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.93 / $470.64 / $1,024.79	Professional		$355.93	$470.64	$1,024.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,172.66 / $1,172.66 / $1,172.66	Professional		$1,172.66	$1,172.66	$1,172.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.12 / $428.54 / $1,203.09	Professional		$288.12	$428.54	$1,203.09