Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,621.81 / $2,137.96 / $2,137.96	Facility	50	$1,621.81	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $524.81	Professional		$97.72	$177.83	$524.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $263.03 / $263.03	Professional	50	$72.44	$263.03	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $389.05	Professional		$104.71	$165.96	$389.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $263.03 / $331.13	Professional	50	$199.53	$263.03	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $416.87 / $5,754.40	Facility		$66.07	$416.87	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $416.87	Professional		$114.82	$199.53	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $186.21	Facility		$158.49	$158.49	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $416.87	Professional		$114.82	$194.98	$416.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $125.89 / $275.42	Professional		$54.95	$125.89	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $354.81	Professional		$109.65	$199.53	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,548.82	Facility		$54.95	$56.23	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,548.82	Professional		$1,318.26	$1,548.82	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $257.04	Professional		$154.88	$154.88	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $190.55 / $323.59	Facility		$109.65	$190.55	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $446.68	Professional		$112.20	$199.53	$446.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $602.56	Professional		$346.74	$346.74	$602.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $208.93	Professional		$57.54	$93.33	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $389.05	Professional		$91.20	$162.18	$389.05