Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.66 / $6,342.00 / $17,393.00	Facility		$1,109.66	$6,342.00	$17,393.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,741.00 / $8,741.00 / $8,741.00	Facility	50	$8,741.00	$8,741.00	$8,741.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $879.57 / $2,109.00	Professional		$355.43	$879.57	$2,109.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $516.03 / $1,419.14 / $1,502.03	Professional	50	$516.03	$1,419.14	$1,502.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $14,341.00	Facility		$2,143.00	$5,977.00	$14,341.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.40 / $694.05 / $1,241.73	Professional		$452.40	$694.05	$1,241.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $480.68 / $598.23 / $1,267.77	Professional	50	$480.68	$598.23	$1,267.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,501.05	Facility		$66.00	$100.00	$20,501.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.35 / $900.80 / $1,811.30	Professional		$407.35	$900.80	$1,811.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,464.00 / $10,246.84 / $18,352.54	Facility		$5,464.00	$10,246.84	$18,352.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.56 / $850.30 / $1,885.91	Professional		$359.56	$850.30	$1,885.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $336.30 / $675.35 / $1,217.40	Professional		$336.30	$675.35	$1,217.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.55 / $709.57 / $1,363.71	Professional		$304.55	$709.57	$1,363.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,067.54 / $2,119.56 / $26,542.00	Facility		$2,067.54	$2,119.56	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.80 / $7,831.06 / $8,263.84	Professional		$2,703.80	$7,831.06	$8,263.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.74 / $547.79 / $1,432.49	Facility		$344.74	$547.79	$1,432.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.60 / $870.48 / $1,885.91	Professional		$366.60	$870.48	$1,885.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $990.33 / $990.33 / $2,503.84	Professional		$990.33	$990.33	$2,503.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $305.42 / $728.97 / $1,013.03	Professional		$305.42	$728.97	$1,013.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,391.00 / $13,007.00 / $32,191.00	Facility		$7,391.00	$13,007.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.08 / $959.35 / $1,889.62	Professional		$598.08	$959.35	$1,889.62