Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $4,429.00 / $16,109.00	Facility		$411.00	$4,429.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $122.70 / $367.12	Professional		$64.40	$122.70	$367.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
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 $60.18 / $92.79 / $255.36	Professional		$60.18	$92.79	$255.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.32 / $151.06 / $198.31	Professional	50	$98.32	$151.06	$198.31
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 $73.51 / $139.62 / $262.70	Professional		$73.51	$139.62	$262.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,681.08	Facility		$938.60	$940.26	$1,681.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $145.80 / $283.02	Professional		$74.30	$145.80	$283.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $97.10 / $244.94	Professional		$60.68	$97.10	$244.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $150.52 / $278.06	Professional		$78.50	$150.52	$278.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.65 / $382.33 / $12,000.00	Facility		$346.65	$382.33	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,139.00 / $2,139.00 / $2,139.00	Professional		$2,139.00	$2,139.00	$2,139.00
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 $78.03 / $142.62 / $238.37	Facility		$78.03	$142.62	$238.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $151.61 / $303.38	Professional		$75.38	$151.61	$303.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $247.43 / $247.43 / $462.61	Professional		$247.43	$247.43	$462.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $99.49 / $201.70	Professional		$76.53	$99.49	$201.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,679.00 / $7,399.00	Facility		$1,198.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $148.09 / $307.06	Professional		$106.91	$148.09	$307.06