Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,039.91 / $7,168.00 / $18,252.00	Facility		$2,039.91	$7,168.00	$18,252.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,153.00 / $3,153.00 / $9,783.00	Facility	50	$3,153.00	$3,153.00	$9,783.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.02 / $431.23 / $1,583.57	Professional		$363.02	$431.23	$1,583.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.45 / $555.67 / $1,099.54	Professional		$381.45	$555.67	$1,099.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $9,686.74	Facility		$66.70	$100.00	$9,686.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $390.57 / $966.85	Professional		$259.48	$390.57	$966.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.01 / $467.84 / $1,404.51	Professional		$359.01	$467.84	$1,404.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $386.40 / $579.60	Professional		$306.39	$386.40	$579.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.87 / $443.28 / $806.27	Professional		$345.87	$443.28	$806.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,934.94 / $9,388.90 / $26,542.00	Facility		$1,934.94	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,068.89 / $5,068.89 / $5,068.89	Professional		$5,068.89	$5,068.89	$5,068.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.38 / $488.73 / $836.25	Facility		$380.38	$488.73	$836.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.36 / $469.62 / $996.10	Professional		$359.36	$469.62	$996.10
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,577.00 / $4,577.00 / $4,577.00	Facility		$4,577.00	$4,577.00	$4,577.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,152.05 / $1,152.05 / $1,152.05	Professional		$1,152.05	$1,152.05	$1,152.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $426.56 / $579.60	Professional		$306.39	$426.56	$579.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.44 / $432.97 / $1,124.83	Professional		$286.44	$432.97	$1,124.83