Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.16 / $4,848.00 / $16,573.00	Facility		$258.16	$4,848.00	$16,573.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $462.31 / $462.31 / $462.31	Facility	50	$462.31	$462.31	$462.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $72.94 / $275.64	Professional		$48.23	$72.94	$275.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,418.00 / $9,274.00	Facility		$1,546.00	$4,418.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $113.02 / $240.63	Professional		$73.42	$113.02	$240.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,177.85	Facility		$64.40	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $89.39 / $164.73	Professional		$57.19	$89.39	$164.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $88.76 / $172.98	Professional		$56.33	$88.76	$172.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $74.09 / $103.19	Professional		$51.34	$74.09	$103.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $74.30 / $140.03	Professional		$47.23	$74.30	$140.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $216.50 / $230.47	Facility		$55.00	$216.50	$230.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.32 / $387.08 / $824.00	Professional		$354.32	$387.08	$824.00
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 $55.64 / $76.72 / $112.58	Facility		$55.64	$76.72	$112.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $95.15 / $177.32	Professional		$57.07	$95.15	$177.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $160.18 / $160.18 / $243.13	Professional		$160.18	$160.18	$243.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $73.31 / $111.13	Professional		$46.65	$73.31	$111.13
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $87.25 / $165.94	Professional		$59.08	$87.25	$165.94