Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.04 / $4,122.50 / $15,877.00	Facility		$145.04	$4,122.50	$15,877.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,429.00 / $3,429.00 / $3,429.00	Facility	50	$3,429.00	$3,429.00	$3,429.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $128.43 / $334.23	Professional		$65.51	$128.43	$334.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.67 / $342.67 / $768.00	Professional	50	$342.67	$342.67	$768.00
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 $63.86 / $94.20 / $177.02	Professional		$63.86	$94.20	$177.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.22 / $141.30 / $213.50	Professional	50	$107.22	$141.30	$213.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,659.82	Facility		$66.00	$100.00	$1,659.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $132.94 / $245.77	Professional		$79.45	$132.94	$245.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.82 / $199.17 / $1,487.00	Facility		$198.82	$199.17	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $144.77 / $286.58	Professional		$74.51	$144.77	$286.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $95.06 / $214.38	Professional		$78.56	$95.06	$214.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $159.81 / $296.22	Professional		$72.48	$159.81	$296.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $326.99 / $351.41 / $15,000.00	Facility		$326.99	$351.41	$15,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.00 / $1,126.56 / $1,308.83	Professional		$1,087.00	$1,126.56	$1,308.83
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 $76.04 / $137.11 / $243.61	Facility		$76.04	$137.11	$243.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $151.72 / $326.10	Professional		$75.22	$151.72	$326.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $176.31 / $176.31 / $419.15	Professional		$176.31	$176.31	$419.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $109.98 / $216.61	Professional		$71.95	$109.98	$216.61
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 $103.53 / $141.07 / $290.80	Professional		$103.53	$141.07	$290.80