Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $5,829.00 / $18,293.00	Facility		$621.00	$5,829.00	$18,293.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,222.61 / $4,141.45 / $18,164.00	Facility	50	$2,222.61	$4,141.45	$18,164.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $306.80 / $1,012.71	Professional		$229.90	$306.80	$1,012.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $412.72 / $881.82	Professional		$288.33	$412.72	$881.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,646.91	Facility		$66.70	$100.00	$7,646.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $224.02 / $320.02 / $771.00	Professional		$224.02	$320.02	$771.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $2,296.29 / $5,409.85	Facility		$1,943.01	$2,296.29	$5,409.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.32 / $370.71 / $836.98	Professional		$253.32	$370.71	$836.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $286.50 / $475.44	Professional		$96.05	$286.50	$475.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $376.62 / $626.27	Professional		$257.89	$376.62	$626.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,740.48 / $1,782.84 / $16,394.00	Facility		$1,740.48	$1,782.84	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,980.00 / $2,391.52 / $2,874.38	Professional		$1,980.00	$2,391.52	$2,874.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.14 / $348.20 / $532.69	Facility		$235.14	$348.20	$532.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $389.25 / $836.98	Professional		$257.89	$389.25	$836.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $820.40 / $820.40 / $1,096.90	Professional		$820.40	$820.40	$1,096.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $169.58 / $439.76	Professional		$96.05	$169.58	$439.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $396.88 / $1,182.27	Professional		$261.36	$396.88	$1,182.27