Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.83 / $4,429.37 / $16,125.00	Facility		$204.83	$4,429.37	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $138.88 / $384.24	Professional		$37.61	$138.88	$384.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.21 / $125.21 / $125.21	Professional	50	$125.21	$125.21	$125.21
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 $38.02 / $101.29 / $217.81	Professional		$38.02	$101.29	$217.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.25 / $48.85 / $220.50	Professional	50	$39.25	$48.85	$220.50
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 $87.68 / $168.17 / $338.79	Professional		$87.68	$168.17	$338.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,487.00 / $1,487.00	Facility		$1,487.00	$1,487.00	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $108.54 / $333.03	Professional		$34.52	$108.54	$333.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $47.15 / $127.90	Professional		$26.89	$47.15	$127.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $36.24 / $71.80	Professional		$24.27	$36.24	$71.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $294.42 / $308.80 / $12,000.00	Facility		$294.42	$308.80	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.00 / $1,928.00 / $1,928.00	Professional		$1,928.00	$1,928.00	$1,928.00
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 $29.12 / $44.74 / $264.76	Facility		$29.12	$44.74	$264.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $97.68 / $326.70	Professional		$35.04	$97.68	$326.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $82.47 / $111.32	Professional		$82.47	$82.47	$111.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $35.72 / $152.12	Professional		$24.44	$35.72	$152.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,679.00 / $7,399.00	Facility		$1,120.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $66.36 / $283.93	Professional		$27.16	$66.36	$283.93