Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,982.44	Facility		$2,511.89	$6,606.93	$16,982.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.87 / $6,760.83 / $6,760.83	Facility	50	$5,011.87	$6,760.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $1,659.59	Professional		$389.05	$512.86	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,479.11	Professional		$407.38	$676.08	$1,479.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $8,128.31	Facility		$66.07	$2,511.89	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,318.26	Professional		$426.58	$630.96	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Facility		$1,778.28	$1,778.28	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,230.27	Professional		$389.05	$562.34	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $707.95	Professional		$169.82	$257.04	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $891.25	Professional		$436.52	$575.44	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $28,840.32 / $28,840.32	Facility		$7,943.28	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $3,890.45	Professional		$3,388.44	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $588.84 / $912.01	Facility		$426.58	$588.84	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,230.27	Professional		$371.54	$549.54	$1,230.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $501.19	Professional		$213.80	$295.12	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,318.26	Professional		$346.74	$489.78	$1,318.26