Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,863.86 / $9,560.00 / $19,368.00	Facility		$1,863.86	$9,560.00	$19,368.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,475.80 / $7,305.01 / $21,096.00	Facility	50	$2,475.80	$7,305.01	$21,096.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.26 / $390.61 / $1,583.31	Professional		$341.26	$390.61	$1,583.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $235.88 / $703.10 / $2,795.80	Professional	50	$235.88	$703.10	$2,795.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,362.00 / $15,328.00	Facility		$2,629.00	$7,362.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.25 / $680.74 / $1,351.35	Professional		$433.25	$680.74	$1,351.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $419.37 / $524.22 / $635.41	Professional	50	$419.37	$524.22	$635.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $11,539.24	Facility		$66.70	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $233.02 / $352.26 / $1,055.45	Professional		$233.02	$352.26	$1,055.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,064.55 / $3,621.74 / $8,532.51	Facility		$3,064.55	$3,621.74	$8,532.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.96 / $479.28 / $1,492.64	Professional		$368.96	$479.28	$1,492.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $355.99 / $391.59 / $678.20	Professional		$355.99	$391.59	$678.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.39 / $409.84 / $733.00	Professional		$320.39	$409.84	$733.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,779.78 / $13,759.35 / $26,542.00	Facility		$1,779.78	$13,759.35	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,125.60 / $6,125.60 / $6,125.60	Professional		$6,125.60	$6,125.60	$6,125.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.11 / $488.12 / $834.66	Facility		$363.11	$488.12	$834.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.21 / $488.06 / $1,058.61	Professional		$375.21	$488.06	$1,058.61
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $6,959.00 / $6,959.00 / $6,959.00	Facility		$6,959.00	$6,959.00	$6,959.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,046.47 / $1,046.47 / $1,046.47	Professional		$1,046.47	$1,046.47	$1,046.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.80 / $452.13 / $678.19	Professional		$323.80	$452.13	$678.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $21,278.00	Facility		$5,116.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.99 / $418.95 / $1,076.24	Professional		$269.99	$418.95	$1,076.24