Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.09 / $10,007.00 / $21,960.90	Facility		$1,938.09	$10,007.00	$21,960.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,573.43 / $16,615.00 / $29,533.50	Facility	50	$4,573.43	$16,615.00	$29,533.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.02 / $850.49 / $2,676.00	Professional		$580.02	$850.49	$2,676.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $14,273.00 / $27,867.00	Facility		$4,204.00	$14,273.00	$27,867.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.65 / $1,121.63 / $2,304.44	Professional		$678.65	$1,121.63	$2,304.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $19,950.95	Facility		$66.70	$100.00	$19,950.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $547.74 / $905.57 / $1,894.00	Professional		$547.74	$905.57	$1,894.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $11,306.00	Facility		$2,091.14	$2,471.35	$11,306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.41 / $892.41 / $1,912.66	Professional		$586.41	$892.41	$1,912.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $650.29 / $845.10 / $1,182.15	Professional		$650.29	$845.10	$1,182.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.29 / $828.19 / $1,419.75	Professional		$577.29	$828.19	$1,419.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,931.68 / $11,933.00 / $12,131.00	Facility		$3,931.68	$11,933.00	$12,131.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $7,060.12 / $7,060.12	Professional		$5,000.00	$7,060.12	$7,060.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $650.29 / $915.53 / $1,605.00	Facility		$650.29	$915.53	$1,605.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $587.80 / $947.59 / $1,853.15	Professional		$587.80	$947.59	$1,853.15
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $6,822.00 / $6,822.00 / $6,822.00	Facility		$6,822.00	$6,822.00	$6,822.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,862.14 / $1,862.14 / $2,433.17	Professional		$1,862.14	$1,862.14	$2,433.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $670.14 / $845.10 / $1,206.25	Professional		$670.14	$845.10	$1,206.25
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,571.00	Facility		$7,696.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.76 / $970.68 / $2,413.28	Professional		$592.76	$970.68	$2,413.28