Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,429.00 / $16,109.00	Facility		$365.00	$4,429.00	$16,109.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.00 / $1,482.00 / $2,956.50	Facility	50	$741.00	$1,482.00	$2,956.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $211.74 / $504.37	Professional		$74.48	$211.74	$504.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,542.00 / $9,589.00	Facility		$1,787.00	$4,542.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $127.82 / $387.00	Professional		$96.35	$127.82	$387.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $186.49 / $395.18	Professional		$75.44	$186.49	$395.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.12 / $574.58	Professional		$85.11	$234.12	$574.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $206.63 / $526.03	Professional		$89.00	$206.63	$526.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $265.69 / $514.46	Professional		$80.80	$265.69	$514.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $559.28 / $559.28	Facility		$55.00	$559.28	$559.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.01 / $2,532.38 / $2,809.18	Professional		$1,127.01	$2,532.38	$2,809.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $250.88	Professional		$32.34	$32.34	$250.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.76 / $229.86 / $530.84	Facility		$86.76	$229.86	$530.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $243.38 / $729.12	Professional		$87.51	$243.38	$729.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $271.82 / $271.82 / $984.69	Professional		$271.82	$271.82	$984.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $315.05 / $433.19	Professional		$80.80	$315.05	$433.19
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $309.32 / $890.65	Professional		$219.39	$309.32	$890.65