Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,456.54 / $16,982.44	Facility		$2,187.76	$6,456.54	$16,982.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $4,365.16 / $33,113.11	Facility	50	$2,398.83	$4,365.16	$33,113.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $1,445.44	Professional		$199.53	$338.84	$1,445.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,122.02 / $1,949.84 / $2,089.30	Professional	50	$1,122.02	$1,949.84	$2,089.30
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 $288.40 / $457.09 / $954.99	Professional		$288.40	$457.09	$954.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $446.68 / $645.65	Professional	50	$407.38	$446.68	$645.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $7,762.47	Facility		$66.07	$2,041.74	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $812.83	Professional		$223.87	$363.08	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Facility		$891.25	$891.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $676.08	Professional		$213.80	$331.13	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $512.86	Professional		$151.36	$257.04	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $575.44	Professional		$190.55	$331.13	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $28,840.32 / $28,840.32	Facility		$3,981.07	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $2,570.40	Professional		$2,344.23	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $436.52	Professional		$263.03	$263.03	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $338.84 / $524.81	Facility		$223.87	$338.84	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $691.83	Professional		$213.80	$338.84	$691.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,023.29	Professional		$660.69	$660.69	$1,023.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $346.74	Professional		$173.78	$245.47	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $676.08	Professional		$190.55	$302.00	$676.08