Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.91 / $5,505.00 / $17,807.50	Facility		$919.91	$5,505.00	$17,807.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,666.93 / $3,179.25 / $12,517.10	Facility	50	$1,666.93	$3,179.25	$12,517.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $157.00 / $411.65	Professional		$112.47	$157.00	$411.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.67 / $115.91 / $990.00	Professional	50	$38.67	$115.91	$990.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $274.54 / $535.67	Professional		$173.09	$274.54	$535.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $204.02 / $255.03 / $313.77	Professional	50	$204.02	$255.03	$313.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $179.10 / $441.74	Professional		$117.80	$179.10	$441.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $1,182.65 / $2,786.23	Facility		$1,000.71	$1,182.65	$2,786.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $208.77 / $630.40	Professional		$160.31	$208.77	$630.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $179.63 / $250.01	Professional		$132.16	$179.63	$250.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $207.26 / $364.78	Professional		$160.13	$207.26	$364.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $5,194.52 / $16,394.00	Facility		$882.00	$5,194.52	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,496.46 / $2,496.46 / $2,496.46	Professional		$2,496.46	$2,496.46	$2,496.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.81 / $220.77 / $368.12	Facility		$165.81	$220.77	$368.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $212.01 / $455.30	Professional		$160.31	$212.01	$455.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $510.83 / $510.83 / $510.83	Professional		$510.83	$510.83	$510.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $198.25 / $250.01	Professional		$132.16	$198.25	$250.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $188.79 / $501.77	Professional		$129.91	$188.79	$501.77