Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $7,000.00 / $18,293.00	Facility		$110.34	$7,000.00	$18,293.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,235.98 / $2,235.98 / $2,889.33	Facility	50	$2,235.98	$2,235.98	$2,889.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $110.34 / $223.21	Professional		$86.24	$110.34	$223.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.51 / $173.79 / $861.51	Professional	50	$165.51	$173.79	$861.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $127.30 / $272.80	Professional		$88.81	$127.30	$272.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.63 / $146.81 / $177.84	Professional	50	$123.63	$146.81	$177.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $120.78 / $271.48	Professional		$91.06	$120.78	$271.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $126.09 / $233.55	Professional		$83.85	$126.09	$233.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $133.30 / $172.31	Professional		$98.74	$133.30	$172.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $109.50 / $195.30	Professional		$78.44	$109.50	$195.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $544.44 / $562.08	Facility		$55.00	$544.44	$562.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $577.52 / $655.04 / $1,055.57	Professional		$577.52	$655.04	$1,055.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $117.14 / $187.13	Facility		$67.84	$117.14	$187.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $132.21 / $246.23	Professional		$84.56	$132.21	$246.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $255.17 / $255.17 / $305.66	Professional		$255.17	$255.17	$305.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $142.10 / $245.94	Professional		$89.83	$142.10	$245.94
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $6,323.00	Facility		$526.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $104.00 / $218.26	Professional		$75.40	$104.00	$218.26