Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,413.10 / $19,054.61	Facility		$2,691.53	$7,413.10	$19,054.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility	50	$5,128.61	$5,128.61	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,412.54	Professional		$323.59	$588.84	$1,412.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $575.44 / $2,137.96	Professional	50	$245.47	$575.44	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,778.28	Professional		$549.54	$794.33	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $831.76 / $933.25	Professional	50	$524.81	$831.76	$933.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,344.23 / $14,125.38	Facility		$66.07	$2,344.23	$14,125.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,445.44	Professional		$457.09	$676.08	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $309.03	Facility		$263.03	$263.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,174.90	Professional		$338.84	$562.34	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $602.56	Professional		$229.09	$316.23	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $707.95	Professional		$239.88	$426.58	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $588.84	Professional		$354.81	$354.81	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $562.34 / $912.01	Facility		$302.00	$562.34	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $1,174.90	Professional		$338.84	$575.44	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,445.44	Professional		$870.96	$870.96	$1,445.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $457.09	Professional		$229.09	$323.59	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $1,071.52	Professional		$269.15	$489.78	$1,071.52