Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.20 / $4,436.00 / $16,125.00	Facility		$324.20	$4,436.00	$16,125.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,655.11 / $4,331.84 / $5,891.16	Facility	50	$3,655.11	$4,331.84	$5,891.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $123.20 / $477.20	Professional		$81.09	$123.20	$477.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.82 / $715.80 / $737.28	Professional	50	$204.82	$715.80	$737.28
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 $73.95 / $102.84 / $203.42	Professional		$73.95	$102.84	$203.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.95 / $137.83 / $201.78	Professional	50	$85.95	$137.83	$201.78
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 $89.14 / $127.34 / $245.84	Professional		$89.14	$127.34	$245.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.49 / $138.74 / $1,487.00	Facility		$138.49	$138.74	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $138.58 / $253.84	Professional		$78.73	$138.58	$253.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $82.66 / $164.03	Professional		$60.96	$82.66	$164.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $112.76 / $210.23	Professional		$55.39	$112.76	$210.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $302.38 / $302.38	Facility		$55.00	$302.38	$302.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.00 / $1,367.00 / $1,367.00	Professional		$1,367.00	$1,367.00	$1,367.00
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 $65.30 / $122.94 / $185.90	Facility		$65.30	$122.94	$185.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $140.78 / $274.33	Professional		$81.22	$140.78	$274.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $181.21 / $372.35	Professional		$181.21	$181.21	$372.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $110.50 / $151.94	Professional		$55.39	$110.50	$151.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,679.00 / $7,399.00	Facility		$1,046.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $126.75 / $259.14	Professional		$89.32	$126.75	$259.14