Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.07 / $6,695.00 / $17,902.00	Facility		$549.07	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $467.13 / $1,149.14	Professional		$179.01	$467.13	$1,149.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	50	$482.32	$482.32	$482.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,883.00 / $11,400.00	Facility		$2,160.00	$5,883.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.32 / $338.69 / $1,111.84	Professional		$227.32	$338.69	$1,111.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $276.60 / $498.81 / $813.06	Professional	50	$276.60	$498.81	$813.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $7,908.14	Facility		$65.90	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $205.79 / $486.24 / $960.66	Professional		$205.79	$486.24	$960.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $513.23 / $1,139.92	Professional		$214.58	$513.23	$1,139.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $456.44 / $801.99	Professional		$224.12	$456.44	$801.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.78 / $452.80 / $831.70	Professional		$197.78	$452.80	$831.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,348.68 / $1,374.36	Facility		$55.00	$1,348.68	$1,374.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,438.80 / $1,625.10 / $4,207.00	Professional		$1,438.80	$1,625.10	$4,207.00
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 $208.43 / $430.16 / $722.29	Facility		$208.43	$430.16	$722.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.80 / $513.23 / $1,149.90	Professional		$214.80	$513.23	$1,149.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $637.21 / $637.21 / $1,665.05	Professional		$637.21	$637.21	$1,665.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $201.62 / $505.35 / $775.95	Professional		$201.62	$505.35	$775.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,454.00 / $15,471.00	Facility		$3,842.00	$7,454.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.06 / $616.22 / $1,530.90	Professional		$410.06	$616.22	$1,530.90