Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.79 / $5,829.00 / $17,054.00	Facility		$1,431.79	$5,829.00	$17,054.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,104.25 / $2,104.25 / $46,151.05	Facility	50	$2,104.25	$2,104.25	$46,151.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $1,266.64 / $2,086.13	Professional		$263.95	$1,266.64	$2,086.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,399.00	Facility		$2,696.00	$7,166.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $1,264.40 / $3,805.64	Professional		$381.36	$1,264.40	$3,805.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $441.16 / $1,769.43 / $2,554.11	Professional	50	$441.16	$1,769.43	$2,554.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $1,039.39 / $2,685.45	Professional		$289.64	$1,039.39	$2,685.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $482.50	Facility		$482.50	$482.50	$482.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $1,064.70 / $2,589.23	Professional		$305.20	$1,064.70	$2,589.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $362.95 / $2,079.28	Professional		$237.90	$362.95	$2,079.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.64 / $867.66 / $1,985.39	Professional		$267.64	$867.66	$1,985.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,228.54 / $2,228.54	Facility		$55.00	$2,228.54	$2,228.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,525.18 / $8,472.40 / $10,117.95	Professional		$4,525.18	$8,472.40	$10,117.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,001.38	Professional		$32.34	$32.34	$1,001.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.56 / $1,108.71 / $2,047.46	Facility		$301.56	$1,108.71	$2,047.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.89 / $1,166.08 / $3,050.92	Professional		$322.89	$1,166.08	$3,050.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $893.64 / $893.64 / $4,182.72	Professional		$893.64	$893.64	$4,182.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $333.06 / $1,711.90	Professional		$233.86	$333.06	$1,711.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $10,001.00 / $23,219.00	Facility		$5,670.00	$10,001.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.33 / $1,619.44 / $3,514.40	Professional		$1,057.33	$1,619.44	$3,514.40