Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.93 / $2,780.00 / $14,472.00	Facility		$54.93	$2,780.00	$14,472.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $47.25 / $239.00	Professional		$27.19	$47.25	$239.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $292.83 / $292.83 / $292.83	Professional	50	$292.83	$292.83	$292.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $41.12 / $91.74	Professional		$27.20	$41.12	$91.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $45.92 / $66.25 / $88.24	Professional	50	$45.92	$66.25	$88.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $100.00 / $1,596.84	Facility		$59.90	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $36.43 / $92.41	Professional		$25.68	$36.43	$92.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $50.47 / $104.98	Professional		$32.71	$50.47	$104.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $46.61 / $89.40	Professional		$19.59	$46.61	$89.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $62.65 / $112.89	Professional		$33.86	$62.65	$112.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $149.85 / $170.67	Facility		$55.00	$149.85	$170.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $240.24 / $416.80 / $483.90	Professional		$240.24	$416.80	$483.90
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 $33.72 / $50.66 / $84.58	Facility		$33.72	$50.66	$84.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $53.69 / $110.08	Professional		$33.40	$53.69	$110.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $104.67 / $179.20	Professional		$104.67	$104.67	$179.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $33.29 / $82.84	Professional		$20.37	$33.29	$82.84
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $5,830.00	Facility		$548.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $50.44 / $123.78	Professional		$38.40	$50.44	$123.78