Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,075.18 / $16,713.00	Facility		$1,208.95	$5,075.18	$16,713.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $950.00 / $3,268.33 / $22,752.56	Facility	50	$950.00	$3,268.33	$22,752.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.77 / $523.29 / $2,280.00	Professional		$420.77	$523.29	$2,280.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.46 / $703.34 / $1,435.65	Professional		$517.46	$703.34	$1,435.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,591.57	Facility		$66.00	$100.00	$5,591.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $299.17 / $461.71 / $1,135.11	Professional		$299.17	$461.71	$1,135.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $2,296.29 / $5,409.85	Facility		$1,943.01	$2,296.29	$5,409.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.56 / $647.73 / $1,871.90	Professional		$466.56	$647.73	$1,871.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $322.77 / $488.47 / $879.27	Professional		$322.77	$488.47	$879.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.25 / $740.03 / $1,304.56	Professional		$569.25	$740.03	$1,304.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,074.60 / $8,723.79 / $12,000.00	Facility		$2,074.60	$8,723.79	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,021.76 / $4,092.08 / $4,767.00	Professional		$4,021.76	$4,092.08	$4,767.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $664.80 / $972.38	Facility		$448.00	$664.80	$972.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.27 / $671.99 / $1,498.39	Professional		$479.27	$671.99	$1,498.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,636.65 / $1,636.65 / $1,636.65	Professional		$1,636.65	$1,636.65	$1,636.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $322.77 / $464.81 / $722.93	Professional		$322.77	$464.81	$722.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,713.00 / $21,278.00	Facility		$4,728.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.61 / $588.85 / $1,622.04	Professional		$389.61	$588.85	$1,622.04