Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,011.87 / $15,848.93	Facility		$1,023.29	$5,011.87	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility	50	$5,370.32	$5,370.32	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $190.55 / $660.69	Professional		$72.44	$190.55	$660.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $512.86 / $1,096.48	Professional	50	$229.09	$512.86	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $302.00	Professional		$74.13	$123.03	$302.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $199.53 / $354.81	Professional	50	$107.15	$199.53	$354.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,318.26 / $5,623.41	Facility		$66.07	$1,318.26	$5,623.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $213.80 / $436.52	Professional		$83.18	$213.80	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $407.38	Professional		$83.18	$199.53	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $436.52	Professional		$83.18	$109.65	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $234.42 / $489.78	Professional		$79.43	$234.42	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $19,498.45	Facility		$2,691.53	$2,691.53	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $316.23	Professional		$190.55	$190.55	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $398.11	Facility		$81.28	$194.98	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $199.53 / $467.74	Professional		$81.28	$199.53	$467.74
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $724.44	Professional		$269.15	$269.15	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $275.42	Professional		$81.28	$138.04	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $7,585.78	Facility		$1,479.11	$2,754.23	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $165.96 / $323.59	Professional		$69.18	$165.96	$323.59