Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $16,982.44	Facility		$1,659.59	$5,888.44	$16,982.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $407.38 / $2,570.40 / $9,332.54	Facility	50	$407.38	$2,570.40	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $239.88 / $630.96	Professional		$46.77	$239.88	$630.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $371.54 / $2,041.74	Professional	50	$371.54	$371.54	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $758.58	Professional		$67.61	$147.91	$758.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $398.11 / $630.96	Professional	50	$74.13	$398.11	$630.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $251.19 / $776.25	Professional		$58.88	$251.19	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $229.09 / $575.44	Professional		$51.29	$229.09	$575.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $288.40 / $446.68	Professional		$43.65	$288.40	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $223.87 / $446.68	Professional		$39.81	$223.87	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $8,709.64 / $8,709.64	Facility		$56.23	$8,709.64	$8,709.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $234.42 / $562.34	Facility		$50.12	$234.42	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $234.42 / $588.84	Professional		$51.29	$234.42	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $1,000.00	Professional		$154.88	$154.88	$1,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $371.54 / $549.54	Professional		$39.81	$371.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $218.78 / $524.81	Professional		$45.71	$218.78	$524.81