Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.10 / $7,648.00 / $19,368.00	Facility		$721.10	$7,648.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.92 / $296.11 / $1,049.00	Professional		$172.92	$296.11	$1,049.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $388.23 / $474.95 / $1,278.00	Professional	50	$388.23	$474.95	$1,278.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $8,971.00 / $18,030.00	Facility		$3,028.00	$8,971.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.71 / $814.28 / $1,332.35	Professional		$342.71	$814.28	$1,332.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.35 / $320.64 / $450.41	Professional	50	$199.35	$320.64	$450.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $256.31 / $647.53	Professional		$171.88	$256.31	$647.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.02 / $213.93 / $504.00	Facility		$181.02	$213.93	$504.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $271.43 / $985.35	Professional		$143.40	$271.43	$985.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $140.93 / $200.90 / $326.77	Professional		$140.93	$200.90	$326.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.84 / $232.56 / $419.90	Professional		$126.84	$232.56	$419.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $852.54 / $1,545.37 / $26,542.00	Facility		$852.54	$1,545.37	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,690.00 / $6,427.75 / $6,427.75	Professional		$5,690.00	$6,427.75	$6,427.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.52 / $290.06 / $999.23	Facility		$150.52	$290.06	$999.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $309.11 / $823.33	Professional		$147.27	$309.11	$823.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $400.87 / $400.87 / $701.41	Professional		$400.87	$400.87	$701.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $226.30 / $311.16	Professional		$156.44	$226.30	$311.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $308.55 / $905.48	Professional		$169.40	$308.55	$905.48