Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,679.00 / $17,013.00	Facility		$462.00	$5,679.00	$17,013.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,595.00 / $5,595.00 / $9,486.12	Facility	50	$5,595.00	$5,595.00	$9,486.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $258.54 / $1,028.53	Professional		$137.07	$258.54	$1,028.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $459.93 / $1,497.77 / $2,116.50	Professional	50	$459.93	$1,497.77	$2,116.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,718.00 / $9,381.00	Facility		$1,787.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.07 / $473.95 / $875.24	Professional		$257.07	$473.95	$875.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $235.38 / $387.81 / $566.83	Professional	50	$235.38	$387.81	$566.83
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 $149.53 / $280.89 / $559.15	Professional		$149.53	$280.89	$559.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.19 / $279.13 / $657.60	Facility		$236.19	$279.13	$657.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $294.41 / $743.46	Professional		$157.52	$294.41	$743.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $235.67 / $391.45	Professional		$168.13	$235.67	$391.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.32 / $294.14 / $532.02	Professional		$151.32	$294.14	$532.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,185.24 / $1,214.22	Facility		$55.00	$1,185.24	$1,214.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.94 / $2,051.76 / $2,403.44	Professional		$1,087.94	$2,051.76	$2,403.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.49 / $279.13 / $464.62	Facility		$171.49	$279.13	$464.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $314.48 / $738.88	Professional		$164.14	$314.48	$738.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $477.34 / $477.34 / $910.11	Professional		$477.34	$477.34	$910.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $287.61 / $395.46	Professional		$152.69	$287.61	$395.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.96 / $320.62 / $954.75	Professional		$218.96	$320.62	$954.75