Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $200.76 / $478.08	Professional		$75.51	$200.76	$478.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.38 / $630.38 / $630.38	Professional	50	$630.38	$630.38	$630.38
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 $95.24 / $141.90 / $472.96	Professional		$95.24	$141.90	$472.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $116.65 / $148.83 / $376.39	Professional	50	$116.65	$148.83	$376.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,684.75	Facility		$66.00	$100.00	$1,684.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $184.79 / $370.88	Professional		$86.42	$184.79	$370.88
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 $89.67 / $219.13 / $424.50	Professional		$89.67	$219.13	$424.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $194.71 / $376.89	Professional		$92.37	$194.71	$376.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $218.40 / $423.26	Professional		$83.47	$218.40	$423.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $373.93 / $406.03	Facility		$55.00	$373.93	$406.03
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $299.14 / $324.82 / $324.82	Facility	52	$299.14	$324.82	$324.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $603.04 / $679.28 / $1,886.00	Professional		$603.04	$679.28	$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 $97.03 / $203.35 / $358.99	Facility		$97.03	$203.35	$358.99
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $112.30 / $112.30	Facility	52	$112.30	$112.30	$112.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $219.23 / $455.13	Professional		$90.64	$219.23	$455.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $267.74 / $267.74 / $711.34	Professional		$267.74	$267.74	$711.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.75 / $225.74 / $310.39	Professional		$83.75	$225.74	$310.39
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 $168.25 / $232.00 / $500.63	Professional		$168.25	$232.00	$500.63