Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.57 / $4,749.00 / $16,125.00	Facility		$231.57	$4,749.00	$16,125.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,005.12 / $2,005.12 / $2,502.80	Facility	50	$2,005.12	$2,005.12	$2,502.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $197.62 / $460.85	Professional		$73.15	$197.62	$460.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $298.08 / $311.97	Professional	50	$220.42	$298.08	$311.97
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 $92.11 / $137.22 / $433.75	Professional		$92.11	$137.22	$433.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $113.74 / $147.61 / $385.00	Professional	50	$113.74	$147.61	$385.00
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 $83.68 / $182.74 / $367.77	Professional		$83.68	$182.74	$367.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.06 / $731.35 / $1,487.00	Facility		$730.06	$731.35	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $215.31 / $422.65	Professional		$87.32	$215.31	$422.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $192.85 / $388.06	Professional		$91.91	$192.85	$388.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $222.17 / $435.80	Professional		$83.10	$222.17	$435.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $372.39 / $404.18	Facility		$55.00	$372.39	$404.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $600.64 / $676.43 / $1,886.00	Professional		$600.64	$676.43	$1,886.00
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 $96.60 / $203.22 / $369.33	Facility		$96.60	$203.22	$369.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $215.52 / $468.88	Professional		$87.67	$215.52	$468.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $259.33 / $259.33 / $704.13	Professional		$259.33	$259.33	$704.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $232.42 / $319.58	Professional		$83.37	$232.42	$319.58
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 $167.72 / $233.61 / $504.93	Professional		$167.72	$233.61	$504.93