Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.88 / $4,023.00 / $16,109.00	Facility		$283.88	$4,023.00	$16,109.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $791.68 / $1,430.72 / $2,547.30	Facility	50	$791.68	$1,430.72	$2,547.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $83.51 / $276.39	Professional		$49.25	$83.51	$276.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.88 / $129.26 / $437.12	Professional	50	$73.88	$129.26	$437.12
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 $48.87 / $72.09 / $157.72	Professional		$48.87	$72.09	$157.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.70 / $101.34 / $135.72	Professional	50	$81.70	$101.34	$135.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,117.38	Facility		$65.90	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $74.34 / $145.75	Professional		$51.04	$74.34	$145.75
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 $56.85 / $97.29 / $182.25	Professional		$56.85	$97.29	$182.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $76.95 / $137.80	Professional		$57.00	$76.95	$137.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $95.10 / $170.87	Professional		$51.72	$95.10	$170.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $231.61 / $251.13	Facility		$55.00	$231.61	$251.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $376.16 / $417.83 / $2,504.50	Professional		$376.16	$417.83	$2,504.50
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 $60.19 / $91.20 / $144.82	Facility		$60.19	$91.20	$144.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $102.56 / $217.58	Professional		$58.21	$102.56	$217.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $171.50 / $294.12	Professional		$171.50	$171.50	$294.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $96.31 / $133.36	Professional		$51.80	$96.31	$133.36
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,551.00 / $6,323.00	Facility		$570.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $97.94 / $205.53	Professional		$69.44	$97.94	$205.53