Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.64 / $4,397.00 / $16,008.00	Facility		$314.64	$4,397.00	$16,008.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $858.42 / $858.42 / $891.21	Facility	50	$858.42	$858.42	$891.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $121.98 / $314.64	Professional		$58.41	$121.98	$314.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $91.74 / $524.54	Professional	50	$91.74	$91.74	$524.54
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 $54.84 / $83.05 / $175.86	Professional		$54.84	$83.05	$175.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.64 / $114.22 / $164.38	Professional	50	$89.64	$114.22	$164.38
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 $65.66 / $132.71 / $256.47	Professional		$65.66	$132.71	$256.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.06 / $731.35 / $1,487.00	Facility		$730.06	$731.35	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $128.11 / $267.66	Professional		$67.63	$128.11	$267.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $75.12 / $162.08	Professional		$59.57	$75.12	$162.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $103.73 / $188.00	Professional		$58.90	$103.73	$188.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $266.43 / $288.37 / $12,000.00	Facility		$266.43	$288.37	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.00 / $1,340.00 / $1,340.00	Professional		$1,297.00	$1,340.00	$1,340.00
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 $59.75 / $105.55 / $207.02	Facility		$59.75	$105.55	$207.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $136.56 / $252.94	Professional		$69.20	$136.56	$252.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $195.24 / $195.24 / $331.08	Professional		$195.24	$195.24	$331.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $83.40 / $133.41	Professional		$59.43	$83.40	$133.41
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 $79.80 / $131.38 / $253.75	Professional		$79.80	$131.38	$253.75