Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,932.00 / $16,713.00	Facility		$344.00	$4,932.00	$16,713.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $503.00 / $1,616.96 / $2,129.10	Facility	50	$503.00	$1,616.96	$2,129.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $172.53 / $427.32	Professional		$89.43	$172.53	$427.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $260.91 / $260.91 / $260.91	Professional	50	$260.91	$260.91	$260.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,744.00 / $4,505.00 / $9,119.00	Facility		$1,744.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $160.41 / $351.17	Professional		$109.59	$160.41	$351.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $164.88 / $264.64 / $327.78	Professional	50	$164.88	$264.64	$327.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $108.50 / $168.16 / $370.81	Professional		$108.50	$168.16	$370.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $185.32 / $436.61	Facility		$156.81	$185.32	$436.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $196.96 / $501.54	Professional		$111.33	$196.96	$501.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $136.33 / $260.54	Professional		$55.10	$136.33	$260.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $203.53 / $356.18	Professional		$119.73	$203.53	$356.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $766.50 / $785.88	Facility		$55.00	$766.50	$785.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $807.76 / $1,330.32 / $1,559.55	Professional		$807.76	$1,330.32	$1,559.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.54 / $175.77 / $301.42	Facility		$101.54	$175.77	$301.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $210.17 / $488.04	Professional		$111.76	$210.17	$488.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $348.14 / $348.14 / $606.60	Professional		$348.14	$348.14	$606.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $97.28 / $263.30	Professional		$55.10	$97.28	$263.30
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,506.00 / $6,323.00	Facility		$421.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.59 / $205.41 / $611.87	Professional		$139.59	$205.41	$611.87