Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.51 / $9,029.00 / $20,509.00	Facility		$548.51	$9,029.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.85 / $227.46 / $1,212.98	Professional		$194.85	$227.46	$1,212.98
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 $270.27 / $372.91 / $674.35	Professional		$270.27	$372.91	$674.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,273.44	Facility		$66.00	$100.00	$5,273.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.35 / $288.56 / $704.87	Professional		$186.35	$288.56	$704.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.02 / $243.48 / $573.61	Facility		$206.02	$243.48	$573.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $291.30 / $863.22	Professional		$222.40	$291.30	$863.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $228.65 / $247.63 / $321.92	Professional		$228.65	$247.63	$321.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.54 / $296.56 / $528.54	Professional		$226.54	$296.56	$528.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $571.33 / $1,300.00	Facility		$55.00	$571.33	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,692.24 / $3,803.01 / $3,803.01	Professional		$3,692.24	$3,803.01	$3,803.01
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 $232.27 / $296.56 / $445.91	Facility		$232.27	$296.56	$445.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.96 / $294.76 / $642.52	Professional		$223.96	$294.76	$642.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $752.62 / $752.62 / $752.62	Professional		$752.62	$752.62	$752.62
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $277.60 / $679.53	Professional		$194.32	$277.60	$679.53