Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.76 / $5,076.00 / $17,030.00	Facility		$282.76	$5,076.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $189.68 / $499.06	Professional		$104.00	$189.68	$499.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.95 / $114.65 / $4,604.00	Facility		$90.95	$114.65	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $221.99 / $541.58	Professional		$98.23	$221.99	$541.58
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 $126.83 / $259.66 / $510.92	Professional		$126.83	$259.66	$510.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $218.63	Professional		$173.49	$173.49	$218.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.97 / $167.36 / $289.22	Professional		$123.97	$167.36	$289.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $199.91 / $361.62	Professional		$111.85	$199.91	$361.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $206.69 / $552.40 / $552.40	Facility		$206.69	$552.40	$552.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $766.55 / $891.83 / $1,613.10	Professional		$766.55	$891.83	$1,613.10
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 $124.61 / $202.16 / $322.39	Facility		$124.61	$202.16	$322.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $531.41	Professional		$173.49	$173.49	$531.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $377.74 / $377.74 / $816.53	Professional		$377.74	$377.74	$816.53
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 $201.26 / $285.62 / $795.18	Professional		$201.26	$285.62	$795.18