Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.64 / $6,091.00 / $17,133.00	Facility		$256.64	$6,091.00	$17,133.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,906.04 / $6,906.04 / $6,906.04	Facility	50	$6,906.04	$6,906.04	$6,906.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $190.80 / $762.41	Professional		$103.72	$190.80	$762.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $246.76 / $314.82 / $1,503.00	Professional	50	$246.76	$314.82	$1,503.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $197.75 / $458.15	Professional		$120.49	$197.75	$458.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $188.08 / $262.30 / $377.77	Professional	50	$188.08	$262.30	$377.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $124.40 / $189.02 / $414.01	Professional		$124.40	$189.02	$414.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.81 / $185.32 / $436.61	Facility		$156.81	$185.32	$436.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.12 / $209.37 / $522.90	Professional		$127.12	$209.37	$522.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $147.38 / $265.11	Professional		$55.85	$147.38	$265.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.51 / $208.70 / $364.09	Professional		$128.51	$208.70	$364.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $696.80 / $9,102.00 / $11,500.00	Facility		$696.80	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $880.88 / $1,367.60 / $1,605.15	Professional		$880.88	$1,367.60	$1,605.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $188.33 / $311.83	Facility		$121.92	$188.33	$311.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.27 / $224.94 / $513.94	Professional		$128.27	$224.94	$513.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $390.05 / $390.05 / $620.86	Professional		$390.05	$390.05	$620.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $98.60 / $267.87	Professional		$55.85	$98.60	$267.87
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,506.00 / $6,323.00	Facility		$421.00	$1,506.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $215.85 / $648.54	Professional		$148.68	$215.85	$648.54