Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.24 / $6,695.00 / $20,089.00	Facility		$848.24	$6,695.00	$20,089.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,222.00 / $3,222.00 / $22,703.00	Facility	50	$3,222.00	$3,222.00	$22,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.76 / $723.10 / $1,511.59	Professional		$491.76	$723.10	$1,511.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,144.16 / $1,144.16 / $3,550.51	Professional	50	$1,144.16	$1,144.16	$3,550.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.28 / $977.55 / $1,884.71	Professional		$692.28	$977.55	$1,884.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $649.69 / $927.12 / $1,097.01	Professional	50	$649.69	$927.12	$1,097.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $13,719.51	Facility		$66.09	$100.00	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $428.99 / $655.00 / $1,434.19	Professional		$428.99	$655.00	$1,434.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.63 / $294.63 / $348.19	Facility		$294.63	$294.63	$348.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.40 / $672.31 / $1,467.36	Professional		$410.40	$672.31	$1,467.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.52 / $377.66 / $674.17	Professional		$288.52	$377.66	$674.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.73 / $491.23 / $842.72	Professional		$321.73	$491.23	$842.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,505.52 / $1,555.29	Facility		$55.00	$1,505.52	$1,555.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,975.00 / $4,387.22 / $4,387.22	Professional		$2,975.00	$4,387.22	$4,387.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $613.75 / $995.47	Facility		$376.00	$613.75	$995.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.63 / $702.87 / $1,482.38	Professional		$419.63	$702.87	$1,482.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,060.54 / $1,060.54 / $1,682.06	Professional		$1,060.54	$1,060.54	$1,682.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.52 / $380.40 / $623.45	Professional		$288.52	$380.40	$623.45
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.60 / $665.71 / $1,726.22	Professional		$444.60	$665.71	$1,726.22