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 / $18,197.01	Facility		$2,187.76	$6,456.54	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility	50	$7,244.36	$7,244.36	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,949.84	Professional		$389.05	$562.34	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,513.56	Professional		$446.68	$707.95	$1,513.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,549.93	Facility		$66.07	$3,630.78	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,380.38	Professional		$436.52	$676.08	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,290.87	Facility		$1,949.84	$1,949.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,174.90	Professional		$436.52	$588.84	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $467.74 / $831.76	Professional		$144.54	$467.74	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,000.00	Professional		$389.05	$588.84	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $28,840.32 / $28,840.32	Facility		$8,709.64	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $4,466.84	Professional		$3,801.89	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $758.58	Professional		$457.09	$457.09	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $954.99	Facility		$407.38	$602.56	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,174.90	Professional		$426.58	$588.84	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,698.24	Professional		$1,348.96	$1,348.96	$1,698.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $588.84	Professional		$181.97	$275.42	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $16,982.44	Facility		$4,073.80	$7,762.47	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,202.26	Professional		$354.81	$524.81	$1,202.26