Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.16 / $5,076.00 / $17,030.00	Facility		$488.16	$5,076.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $327.33 / $875.58	Professional		$147.41	$327.33	$875.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.33 / $184.46 / $4,604.00	Facility		$146.33	$184.46	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.03 / $379.84 / $934.69	Professional		$158.03	$379.84	$934.69
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 $204.43 / $425.13 / $870.64	Professional		$204.43	$425.13	$870.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $346.88	Professional		$275.57	$275.57	$346.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $201.86 / $272.51 / $456.49	Professional		$201.86	$272.51	$456.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.74 / $317.08 / $570.87	Professional		$182.74	$317.08	$570.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.85 / $901.83 / $901.83	Facility		$338.85	$901.83	$901.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.41 / $1,457.03 / $2,557.35	Professional		$1,342.41	$1,457.03	$2,557.35
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 $203.73 / $333.82 / $551.59	Facility		$203.73	$333.82	$551.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $937.84	Professional		$275.57	$275.57	$937.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $673.12 / $673.12 / $1,740.63	Professional		$673.12	$673.12	$1,740.63
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 $385.84 / $534.24 / $1,630.74	Professional		$385.84	$534.24	$1,630.74