Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $4,848.00 / $16,109.00	Facility		$426.00	$4,848.00	$16,109.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,612.86 / $11,829.59 / $17,820.00	Facility	50	$3,612.86	$11,829.59	$17,820.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.09 / $207.71 / $713.88	Professional		$147.09	$207.71	$713.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,212.03 / $1,212.03 / $3,091.69	Professional	50	$1,212.03	$1,212.03	$3,091.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,505.00 / $8,976.00	Facility		$1,882.00	$4,505.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $197.39 / $372.51	Professional		$135.44	$197.39	$372.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $178.38 / $234.03 / $422.02	Professional	50	$178.38	$234.03	$422.02
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 $157.07 / $224.39 / $458.56	Professional		$157.07	$224.39	$458.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.13 / $334.72 / $1,487.00	Facility		$334.13	$334.72	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $229.39 / $474.40	Professional		$129.40	$229.39	$474.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $158.22 / $345.55	Professional		$125.47	$158.22	$345.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $256.97 / $476.19	Professional		$124.82	$256.97	$476.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $557.72 / $601.59	Facility		$55.00	$557.72	$601.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.00 / $1,831.00 / $2,083.80	Professional		$1,831.00	$1,831.00	$2,083.80
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 $137.25 / $245.88 / $392.68	Facility		$137.25	$245.88	$392.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $246.17 / $506.69	Professional		$136.27	$246.17	$506.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $386.39 / $386.39 / $827.58	Professional		$386.39	$386.39	$827.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $175.65 / $349.21	Professional		$123.98	$175.65	$349.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,699.00 / $7,655.00	Facility		$1,207.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $239.70 / $500.92	Professional		$167.33	$239.70	$500.92