Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.92 / $4,932.00 / $17,030.00	Facility		$422.92	$4,932.00	$17,030.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $409.52 / $4,444.01 / $12,669.38	Facility	50	$409.52	$4,444.01	$12,669.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $248.05 / $446.64	Professional		$46.72	$248.05	$446.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $2,059.00	Professional	50	$372.08	$372.08	$2,059.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,994.00	Facility		$2,143.00	$5,931.00	$11,994.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $221.72 / $738.62	Professional		$65.78	$221.72	$738.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.37 / $432.67 / $621.15	Professional	50	$77.37	$432.67	$621.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $204.11 / $650.67	Professional		$55.33	$204.11	$650.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $80.37	Facility		$80.37	$80.37	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $218.30 / $593.69	Professional		$50.14	$218.30	$593.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $287.42 / $426.84	Professional		$49.05	$287.42	$426.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $203.68 / $415.50	Professional		$44.93	$203.68	$415.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $367.35 / $445.00	Facility		$55.00	$367.35	$445.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $903.60 / $2,278.06 / $2,278.06	Professional		$903.60	$2,278.06	$2,278.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $203.98	Professional		$32.34	$32.34	$203.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.33 / $227.09 / $505.89	Facility		$52.33	$227.09	$505.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $241.22 / $663.92	Professional		$51.88	$241.22	$663.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $153.90 / $1,002.62	Professional		$153.90	$153.90	$1,002.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $287.63 / $517.35	Professional		$44.50	$287.63	$517.35
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.20 / $371.37 / $809.65	Professional		$253.20	$371.37	$809.65