Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,229.00 / $17,380.00	Facility		$1,919.00	$6,229.00	$17,380.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,991.00 / $4,991.00 / $6,697.00	Facility	50	$4,991.00	$4,991.00	$6,697.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.48 / $440.87 / $1,590.93	Professional		$367.48	$440.87	$1,590.93
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 $491.59 / $644.32 / $1,296.75	Professional		$491.59	$644.32	$1,296.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $473.33 / $1,150.72	Professional		$300.27	$473.33	$1,150.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.67 / $578.82 / $1,648.73	Professional		$412.67	$578.82	$1,648.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $575.66 / $777.15	Professional		$168.65	$575.66	$777.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.88 / $633.24 / $1,119.78	Professional		$479.88	$633.24	$1,119.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,565.71 / $7,909.30 / $16,394.00	Facility		$2,565.71	$7,909.30	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,360.96 / $3,482.16 / $3,929.10	Professional		$3,360.96	$3,482.16	$3,929.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.44 / $596.34 / $845.97	Facility		$421.44	$596.34	$845.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $617.76 / $1,325.26	Professional		$419.55	$617.76	$1,325.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,471.13 / $1,471.13 / $1,471.13	Professional		$1,471.13	$1,471.13	$1,471.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $297.76 / $639.66	Professional		$168.65	$297.76	$639.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $15,471.00	Facility		$3,459.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.33 / $501.60 / $1,580.33	Professional		$346.33	$501.60	$1,580.33