Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.14 / $6,655.75 / $17,538.00	Facility		$830.14	$6,655.75	$17,538.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,703.32 / $8,447.62 / $23,505.95	Facility	50	$1,703.32	$8,447.62	$23,505.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.19 / $769.35 / $2,557.31	Professional		$576.19	$769.35	$2,557.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $306.18 / $4,348.17 / $5,685.00	Professional	50	$306.18	$4,348.17	$5,685.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,727.00 / $17,774.00	Facility		$2,822.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.74 / $1,050.74 / $2,223.34	Professional		$754.74	$1,050.74	$2,223.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,066.06 / $1,291.66 / $1,647.81	Professional	50	$1,066.06	$1,291.66	$1,647.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,901.71	Facility		$66.00	$100.00	$9,901.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $629.69 / $899.56 / $2,004.92	Professional		$629.69	$899.56	$2,004.92
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 $692.63 / $979.33 / $2,204.91	Professional		$692.63	$979.33	$2,204.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $668.65 / $947.82 / $1,306.06	Professional		$668.65	$947.82	$1,306.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.44 / $987.31 / $1,777.16	Professional		$690.44	$987.31	$1,777.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,645.50 / $4,731.12 / $26,542.00	Facility		$4,645.50	$4,731.12	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,882.72 / $5,999.28 / $7,101.53	Professional		$4,882.72	$5,999.28	$7,101.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.26 / $1,005.17 / $1,405.89	Facility		$726.26	$1,005.17	$1,405.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $693.38 / $1,016.44 / $2,085.41	Professional		$693.38	$1,016.44	$2,085.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,200.65 / $2,200.65 / $2,728.39	Professional		$2,200.65	$2,200.65	$2,728.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $668.65 / $876.72 / $1,203.57	Professional		$668.65	$876.72	$1,203.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.96 / $954.42 / $2,533.44	Professional		$666.96	$954.42	$2,533.44