Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $16,982.44	Facility		$2,344.23	$6,456.54	$16,982.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $5,754.40 / $7,413.10	Facility	50	$4,570.88	$5,754.40	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $977.24 / $3,090.30	Professional		$144.54	$977.24	$3,090.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $5,495.41 / $9,549.93	Professional	50	$223.87	$5,495.41	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,905.46 / $3,715.35	Professional		$269.15	$1,905.46	$3,715.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $1,412.54 / $1,949.84	Professional	50	$263.03	$1,412.54	$1,949.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,089.30 / $7,762.47	Facility		$66.07	$2,089.30	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $776.25 / $2,398.83	Professional		$165.96	$776.25	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,174.90	Facility		$977.24	$977.24	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $977.24 / $2,137.96	Professional		$165.96	$977.24	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $954.99 / $1,479.11	Professional		$144.54	$954.99	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $776.25 / $1,819.70	Professional		$131.83	$776.25	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,466.84	Facility		$54.95	$56.23	$4,466.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $7,585.78	Professional		$6,456.54	$7,585.78	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,258.93	Professional		$758.58	$758.58	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $891.25 / $1,737.80	Facility		$154.88	$891.25	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $912.01 / $2,187.76	Professional		$165.96	$912.01	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $3,388.44	Professional		$478.63	$478.63	$3,388.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,023.29 / $1,621.81	Professional		$131.83	$1,023.29	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $9,772.37	Facility		$2,290.87	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $776.25 / $1,949.84	Professional		$134.90	$776.25	$1,949.84