Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,762.47 / $18,620.87	Facility		$3,311.31	$7,762.47	$18,620.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,128.61 / $5,128.61 / $30,199.52	Facility	50	$5,128.61	$5,128.61	$30,199.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $4,265.80	Professional		$758.58	$1,122.02	$4,265.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,230.27 / $6,918.31	Professional	50	$1,230.27	$1,230.27	$6,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $3,090.30	Professional		$954.99	$1,348.96	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,202.26 / $1,584.89 / $2,137.96	Professional	50	$1,202.26	$1,584.89	$2,137.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,884.03 / $9,549.93	Facility		$66.07	$2,884.03	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $2,884.03	Professional		$831.76	$1,148.15	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,238.72 / $3,090.30	Facility		$575.44	$2,238.72	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,570.40	Professional		$851.14	$1,174.90	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,148.15 / $1,548.82	Professional		$501.19	$1,148.15	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,187.76	Professional		$891.25	$1,148.15	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,511.38 / $8,511.38	Professional		$7,413.10	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,819.70	Facility		$977.24	$1,258.93	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,630.27	Professional		$891.25	$1,230.27	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,148.15	Professional		$630.96	$891.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,137.96	Professional		$758.58	$977.24	$2,137.96