Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.04 / $4,848.00 / $12,620.00	Facility		$870.04	$4,848.00	$12,620.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,032.50 / $9,097.50 / $18,880.04	Facility	50	$1,032.50	$9,097.50	$18,880.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $128.33 / $590.79	Professional		$68.62	$128.33	$590.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $150.38 / $335.70	Professional		$87.40	$150.38	$335.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $134.66 / $282.08	Professional		$81.59	$134.66	$282.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $1,057.45 / $2,491.26	Facility		$894.77	$1,057.45	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $141.82 / $340.24	Professional		$76.20	$141.82	$340.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $106.11 / $278.62	Professional		$70.73	$106.11	$278.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $176.97 / $320.42	Professional		$85.99	$176.97	$320.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $582.48 / $594.72 / $12,000.00	Facility		$582.48	$594.72	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,242.72 / $1,436.85	Professional		$1,100.00	$1,242.72	$1,436.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.01 / $150.00 / $261.99	Facility		$91.01	$150.00	$261.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $152.19 / $356.67	Professional		$78.90	$152.19	$356.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $231.00 / $414.93	Professional		$231.00	$231.00	$414.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $105.47 / $238.23	Professional		$76.70	$105.47	$238.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $150.47 / $513.86	Professional		$99.40	$150.47	$513.86