Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,888.44 / $16,595.87	Facility		$1,202.26	$5,888.44	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $3,090.30 / $5,623.41	Facility	50	$794.33	$3,090.30	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $645.65	Professional		$144.54	$218.78	$645.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $323.59 / $1,023.29	Professional	50	$295.12	$323.59	$1,023.29
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 $123.03 / $234.42 / $549.54	Professional		$123.03	$234.42	$549.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $251.19 / $363.08	Professional	50	$194.98	$251.19	$363.08
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 $194.98 / $281.84 / $616.60	Professional		$194.98	$281.84	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $549.54	Facility		$229.09	$309.03	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $380.19	Professional		$151.36	$234.42	$380.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $281.84	Professional		$147.91	$186.21	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $316.23	Professional		$117.49	$173.78	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $19,498.45 / $19,498.45	Facility		$2,570.40	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $223.87	Professional		$134.90	$134.90	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $204.17 / $354.81	Facility		$131.83	$204.17	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $380.19	Professional		$158.49	$239.88	$380.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $524.81	Professional		$416.87	$416.87	$524.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $354.81	Professional		$125.89	$234.42	$354.81
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 $114.82 / $177.83 / $346.74	Professional		$114.82	$177.83	$346.74