Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $9,772.37 / $19,952.62	Facility		$891.25	$9,772.37	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $426.58	Professional		$107.15	$144.54	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $173.78 / $912.01	Professional	50	$173.78	$173.78	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $426.58	Professional		$112.20	$177.83	$426.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $190.55 / $316.23	Professional	50	$141.25	$190.55	$316.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $398.11 / $5,754.40	Facility		$66.07	$398.11	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $380.19	Professional		$117.49	$165.96	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $549.54	Facility		$112.20	$154.88	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $346.74	Professional		$112.20	$158.49	$346.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $234.42	Professional		$134.90	$173.78	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $263.03	Professional		$112.20	$154.88	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,290.87	Facility		$54.95	$56.23	$2,290.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,584.89	Professional		$1,230.27	$1,230.27	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $186.21	Professional		$112.20	$112.20	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $269.15	Facility		$104.71	$158.49	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $346.74	Professional		$114.82	$162.18	$346.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $436.52	Professional		$398.11	$398.11	$436.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $295.12	Professional		$123.03	$194.98	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,548.82 / $6,309.57	Facility		$549.54	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $263.03	Professional		$97.72	$125.89	$263.03