Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $6,268.00 / $17,380.00	Facility		$563.00	$6,268.00	$17,380.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,366.25 / $7,426.98 / $39,664.50	Facility	50	$2,366.25	$7,426.98	$39,664.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $374.86 / $1,504.81	Professional		$273.88	$374.86	$1,504.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $800.00 / $1,127.68 / $2,348.40	Professional	50	$800.00	$1,127.68	$2,348.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.88 / $437.99 / $960.38	Professional		$296.88	$437.99	$960.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $459.57 / $597.58 / $760.71	Professional	50	$459.57	$597.58	$760.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.36 / $421.94 / $990.74	Professional		$295.36	$421.94	$990.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.70 / $308.11 / $725.87	Facility		$260.70	$308.11	$725.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.19 / $443.67 / $970.88	Professional		$303.19	$443.67	$970.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $329.93 / $505.30	Professional		$142.59	$329.93	$505.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.94 / $429.70 / $758.84	Professional		$290.94	$429.70	$758.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,971.48 / $2,027.76	Facility		$55.00	$1,971.48	$2,027.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,086.40 / $2,759.20 / $3,216.75	Professional		$2,086.40	$2,759.20	$3,216.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.57 / $411.32 / $615.20	Facility		$280.57	$411.32	$615.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.17 / $462.65 / $964.04	Professional		$304.17	$462.65	$964.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $933.70 / $933.70 / $1,235.44	Professional		$933.70	$933.70	$1,235.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $251.75 / $510.27	Professional		$142.59	$251.75	$510.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $436.22 / $1,228.98	Professional		$309.11	$436.22	$1,228.98