Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.19 / $3,989.00 / $16,008.00	Facility		$363.19	$3,989.00	$16,008.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,767.00 / $2,767.00 / $2,767.00	Facility	50	$2,767.00	$2,767.00	$2,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $117.51 / $353.71	Professional		$59.64	$117.51	$353.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,505.00 / $8,976.00	Facility		$1,882.00	$4,505.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $90.38 / $220.28	Professional		$63.41	$90.38	$220.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $105.93 / $126.36 / $174.34	Professional	50	$105.93	$126.36	$174.34
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 $74.15 / $129.75 / $235.41	Professional		$74.15	$129.75	$235.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,681.08	Facility		$938.60	$940.26	$1,681.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $127.61 / $252.02	Professional		$70.11	$127.61	$252.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $94.15 / $220.02	Professional		$72.23	$94.15	$220.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $136.38 / $249.95	Professional		$69.30	$136.38	$249.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $314.87 / $336.49 / $12,000.00	Facility		$314.87	$336.49	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,433.08 / $1,504.73	Professional		$1,227.00	$1,433.08	$1,504.73
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 $73.01 / $128.88 / $219.88	Facility		$73.01	$128.88	$219.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $136.19 / $276.77	Professional		$71.86	$136.19	$276.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $207.11 / $207.11 / $374.20	Professional		$207.11	$207.11	$374.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $118.41 / $181.15	Professional		$68.43	$118.41	$181.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,699.00 / $7,399.00	Facility		$1,198.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $128.80 / $259.02	Professional		$91.50	$128.80	$259.02