Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,218.00 / $17,380.00	Facility		$1,174.00	$6,218.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $175.33 / $926.63	Professional		$149.97	$175.33	$926.63
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 $202.71 / $265.69 / $510.83	Professional		$202.71	$265.69	$510.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.90	Facility		$66.00	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $188.93 / $459.76	Professional		$121.55	$188.93	$459.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $228.76 / $619.21	Professional		$165.80	$228.76	$619.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $207.18 / $227.90 / $1,685.12	Professional		$207.18	$227.90	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.65 / $238.00 / $418.88	Professional		$183.65	$238.00	$418.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $673.16 / $6,817.20	Facility		$55.00	$673.16	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.32 / $1,349.84 / $1,540.28	Professional		$1,308.32	$1,349.84	$1,540.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.11 / $228.48 / $337.58	Facility		$187.11	$228.48	$337.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $235.25 / $500.03	Professional		$170.07	$235.25	$500.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $574.96 / $574.96 / $574.96	Professional		$574.96	$574.96	$574.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $198.90 / $595.13	Professional		$137.69	$198.90	$595.13