Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.60 / $4,122.50 / $16,109.00	Facility		$361.60	$4,122.50	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $122.20 / $382.25	Professional		$60.54	$122.20	$382.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $625.00 / $625.00	Professional	50	$144.25	$625.00	$625.00
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 $70.84 / $93.79 / $176.78	Professional		$70.84	$93.79	$176.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $96.02 / $119.52 / $175.77	Professional	50	$96.02	$119.52	$175.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $4,970.60	Facility		$66.09	$100.00	$4,970.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $130.63 / $240.64	Professional		$76.73	$130.63	$240.64
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 $69.90 / $131.02 / $264.52	Professional		$69.90	$131.02	$264.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $140.36 / $212.40	Professional		$67.83	$140.36	$212.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $137.93 / $254.26	Professional		$61.75	$137.93	$254.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.25 / $371.27 / $12,000.00	Facility		$300.25	$371.27	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $1,119.15 / $1,278.47	Professional		$631.00	$1,119.15	$1,278.47
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 $70.02 / $131.51 / $226.67	Facility		$70.02	$131.51	$226.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $137.02 / $283.26	Professional		$72.62	$137.02	$283.26
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $628.00 / $628.00	Facility		$628.00	$628.00	$628.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $203.70 / $203.70 / $421.29	Professional		$203.70	$203.70	$421.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $152.27 / $252.64	Professional		$61.61	$152.27	$252.64
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $6,323.00	Facility		$570.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $137.72 / $301.70	Professional		$97.47	$137.72	$301.70