Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,623.41 / $16,595.87	Facility		$912.01	$5,623.41	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $6,165.95 / $12,589.25	Facility	50	$2,454.71	$6,165.95	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $338.84	Professional		$64.57	$128.82	$338.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $457.09 / $851.14	Professional	50	$218.78	$457.09	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $275.42	Professional		$75.86	$117.49	$275.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $141.25 / $223.87	Professional	50	$83.18	$141.25	$223.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,096.48 / $5,754.40	Facility		$66.07	$1,096.48	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $295.12	Professional		$85.11	$158.49	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $251.19	Professional		$69.18	$125.89	$251.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $162.18	Professional		$54.95	$74.13	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $190.55	Professional		$50.12	$97.72	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $19,498.45	Facility		$2,691.53	$2,691.53	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $138.04	Professional		$83.18	$83.18	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $114.82 / $213.80	Facility		$58.88	$114.82	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $251.19	Professional		$72.44	$131.83	$251.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $295.12	Professional		$181.97	$181.97	$295.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $134.90	Professional		$50.12	$104.71	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $7,943.28	Facility		$1,445.44	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $199.53	Professional		$51.29	$93.33	$199.53