Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.16 / $4,749.00 / $16,125.00	Facility		$157.16	$4,749.00	$16,125.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,428.96 / $7,688.19 / $12,447.46	Facility	50	$2,428.96	$7,688.19	$12,447.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $128.96 / $321.76	Professional		$72.87	$128.96	$321.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.77 / $460.35 / $787.00	Professional	50	$275.77	$460.35	$787.00
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 $67.95 / $103.68 / $197.70	Professional		$67.95	$103.68	$197.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.48 / $128.10 / $187.50	Professional	50	$86.48	$128.10	$187.50
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 $85.59 / $143.75 / $257.70	Professional		$85.59	$143.75	$257.70
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 $74.61 / $131.63 / $257.86	Professional		$74.61	$131.63	$257.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $83.99 / $161.57	Professional		$60.93	$83.99	$161.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $100.19 / $197.32	Professional		$54.93	$100.19	$197.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.27 / $292.89 / $12,000.00	Facility		$269.27	$292.89	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.00 / $1,087.00 / $1,087.00	Professional		$1,087.00	$1,087.00	$1,087.00
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 $64.87 / $111.60 / $197.58	Facility		$64.87	$111.60	$197.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $137.72 / $256.36	Professional		$76.22	$137.72	$256.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $180.01 / $180.01 / $297.82	Professional		$180.01	$180.01	$297.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $97.99 / $132.99	Professional		$55.33	$97.99	$132.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,679.00 / $7,399.00	Facility		$1,198.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $128.50 / $247.37	Professional		$71.95	$128.50	$247.37