Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $273.81 / $781.50	Facility		$30.48	$273.81	$781.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $210.92 / $365.98 / $762.43	Facility	50	$210.92	$365.98	$762.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $81.90 / $150.00	Professional		$27.75	$81.90	$150.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $137.72 / $237.85	Professional	50	$43.08	$137.72	$237.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $49.50 / $175.54	Professional		$30.14	$49.50	$175.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.35 / $49.83 / $148.41	Professional	50	$40.35	$49.83	$148.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $79.09 / $146.87	Professional		$31.76	$79.09	$146.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $127.04 / $227.54	Facility		$56.00	$127.04	$227.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $77.72 / $175.69	Professional		$18.97	$77.72	$175.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $77.81 / $135.66	Professional		$29.52	$77.81	$135.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $84.79 / $169.59	Professional		$26.98	$84.79	$169.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $140.80 / $157.82	Facility		$55.00	$140.80	$157.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $633.67 / $724.80	Professional		$320.45	$633.67	$724.80
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 $31.46 / $75.31 / $144.81	Facility		$31.46	$75.31	$144.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $81.06 / $184.88	Professional		$26.22	$81.06	$184.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $92.05 / $301.22	Professional		$92.05	$92.05	$301.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $98.13 / $140.06	Professional		$26.86	$98.13	$140.06
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $5,830.00	Facility		$421.00	$1,495.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $91.44 / $209.36	Professional		$60.90	$91.44	$209.36