Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,749.00 / $16,573.00	Facility		$344.00	$4,749.00	$16,573.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $616.36 / $616.36 / $3,995.02	Facility	50	$616.36	$616.36	$3,995.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $173.53 / $627.53	Professional		$105.06	$173.53	$627.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $273.74 / $568.95 / $1,177.82	Professional	50	$273.74	$568.95	$1,177.82
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 $125.32 / $196.51 / $464.19	Professional		$125.32	$196.51	$464.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.44 / $196.81 / $247.53	Professional	50	$154.44	$196.81	$247.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $185.37 / $350.61	Professional		$111.40	$185.37	$350.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $168.97 / $302.63	Facility		$56.00	$168.97	$302.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $200.47 / $394.97	Professional		$119.96	$200.47	$394.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $132.52 / $231.59	Professional		$98.29	$132.52	$231.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $171.02 / $314.79	Professional		$108.58	$171.02	$314.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $493.51 / $532.00	Facility		$55.00	$493.51	$532.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $784.48 / $908.85 / $1,355.85	Professional		$784.48	$908.85	$1,355.85
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 $126.68 / $174.68 / $260.45	Facility		$126.68	$174.68	$260.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.93 / $214.02 / $403.69	Professional		$123.93	$214.02	$403.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $351.74 / $351.74 / $532.05	Professional		$351.74	$351.74	$532.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $137.60 / $214.37	Professional		$98.29	$137.60	$214.37
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 $129.63 / $193.14 / $364.10	Professional		$129.63	$193.14	$364.10