Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.73 / $5,829.00 / $17,030.00	Facility		$1,002.73	$5,829.00	$17,030.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,581.60 / $4,581.60 / $7,373.04	Facility	50	$4,581.60	$4,581.60	$7,373.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $999.62 / $4,171.10	Professional		$137.07	$999.62	$4,171.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $937.39 / $9,096.70 / $9,587.94	Professional	50	$937.39	$9,096.70	$9,587.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,718.00 / $9,381.00	Facility		$1,787.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.07 / $1,856.95 / $3,524.44	Professional		$257.07	$1,856.95	$3,524.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $235.38 / $1,483.53 / $1,828.45	Professional	50	$235.38	$1,483.53	$1,828.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $588.17 / $2,050.32	Professional		$155.50	$588.17	$2,050.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.98 / $1,162.89 / $2,739.66	Facility		$983.98	$1,162.89	$2,739.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $1,065.45 / $2,854.53	Professional		$157.52	$1,065.45	$2,854.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $949.37 / $1,424.06	Professional		$168.73	$949.37	$1,424.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $662.97 / $1,733.92	Professional		$151.86	$662.97	$1,733.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,504.42 / $1,643.33	Facility		$55.00	$1,504.42	$1,643.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,350.92 / $6,419.20 / $7,584.00	Professional		$3,350.92	$6,419.20	$7,584.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.10 / $917.96 / $1,534.31	Facility		$172.10	$917.96	$1,534.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $1,080.98 / $2,695.66	Professional		$164.14	$1,080.98	$2,695.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $477.34 / $477.34 / $3,399.77	Professional		$477.34	$477.34	$3,399.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $967.26 / $1,424.05	Professional		$153.22	$967.26	$1,424.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,213.00 / $9,131.00	Facility		$2,150.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.85 / $1,171.98 / $3,767.96	Professional		$798.85	$1,171.98	$3,767.96