Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.08 / $4,848.00 / $16,573.00	Facility		$228.08	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $109.93 / $357.98	Professional		$69.64	$109.93	$357.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $540.84 / $646.98	Professional	50	$126.14	$540.84	$646.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $99.88 / $194.02	Professional		$76.98	$99.88	$194.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $71.09 / $124.21 / $172.96	Professional	50	$71.09	$124.21	$172.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $126.18 / $241.84	Professional		$88.33	$126.18	$241.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.10 / $99.27 / $1,487.00	Facility		$99.10	$99.27	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $116.33 / $221.31	Professional		$63.49	$116.33	$221.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $68.31 / $119.68	Professional		$50.61	$68.31	$119.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $83.57 / $163.58	Professional		$45.55	$83.57	$163.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $271.36 / $291.62	Facility		$55.00	$271.36	$291.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,017.00	Professional		$1,017.00	$1,017.00	$1,017.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $99.86 / $159.71	Facility		$54.42	$99.86	$159.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $118.60 / $213.77	Professional		$67.73	$118.60	$213.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $141.50 / $228.06	Professional		$141.50	$141.50	$228.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $86.07 / $119.28	Professional		$45.95	$86.07	$119.28
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $106.83 / $208.25	Professional		$57.13	$106.83	$208.25