Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.56 / $5,076.00 / $17,030.00	Facility		$257.56	$5,076.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $172.56 / $438.49	Professional		$78.97	$172.56	$438.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.84 / $100.65 / $4,604.00	Facility		$79.84	$100.65	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $200.27 / $498.63	Professional		$86.22	$200.27	$498.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $556.62 / $1,204.76	Facility		$97.00	$556.62	$1,204.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $229.14 / $466.12	Professional		$111.32	$229.14	$466.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $193.88	Professional		$153.85	$153.85	$193.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $147.04 / $256.83	Professional		$108.92	$147.04	$256.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.19 / $177.35 / $320.91	Professional		$98.19	$177.35	$320.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.18 / $486.10 / $486.10	Facility		$181.18	$486.10	$486.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $691.10 / $784.35 / $1,432.13	Professional		$691.10	$784.35	$1,432.13
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 $109.37 / $184.82 / $292.50	Facility		$109.37	$184.82	$292.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $486.26	Professional		$153.85	$153.85	$486.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $362.96 / $362.96 / $873.87	Professional		$362.96	$362.96	$873.87
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.69 / $291.33 / $859.30	Professional		$201.69	$291.33	$859.30