Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.89 / $6,423.00 / $18,252.00	Facility		$113.89	$6,423.00	$18,252.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,240.54 / $1,240.54 / $1,531.09	Facility	50	$1,240.54	$1,240.54	$1,531.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $111.72 / $305.42	Professional		$57.34	$111.72	$305.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.98 / $827.23 / $1,078.81	Professional	50	$342.98	$827.23	$1,078.81
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 $53.27 / $72.47 / $147.97	Professional		$53.27	$72.47	$147.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $95.92 / $116.25 / $162.44	Professional	50	$95.92	$116.25	$162.44
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 $52.08 / $72.15 / $179.52	Professional		$52.08	$72.15	$179.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.69 / $127.92 / $1,487.00	Facility		$127.69	$127.92	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $105.83 / $223.13	Professional		$66.89	$105.83	$223.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $75.65 / $169.55	Professional		$49.14	$75.65	$169.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $118.77 / $217.21	Professional		$62.90	$118.77	$217.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $287.63 / $307.18	Facility		$55.00	$287.63	$307.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,094.00 / $1,094.00	Professional		$912.00	$1,094.00	$1,094.00
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 $73.81 / $110.19 / $176.74	Facility		$73.81	$110.19	$176.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $117.39 / $236.04	Professional		$68.59	$117.39	$236.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.41 / $173.41 / $293.62	Professional		$173.41	$173.41	$293.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $80.56 / $157.01	Professional		$61.97	$80.56	$157.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $92.07 / $251.10	Professional		$66.81	$92.07	$251.10