Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,387.21	Facility		$3,548.13	$8,912.51	$22,387.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $12,022.64 / $45,708.82	Facility	50	$4,677.35	$12,022.64	$45,708.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,778.28	Professional		$426.58	$588.84	$1,778.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,174.90 / $3,162.28	Professional	50	$645.65	$1,174.90	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,819.70	Professional		$524.81	$851.14	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $933.25 / $1,288.25	Professional	50	$602.56	$933.25	$1,288.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,884.03 / $10,964.78	Facility		$66.07	$2,884.03	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,737.80	Professional		$512.86	$758.58	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $1,995.26	Facility		$707.95	$1,445.44	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,288.25	Professional		$489.78	$691.83	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,047.13	Professional		$537.03	$691.83	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,174.90	Professional		$426.58	$645.65	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $33,884.42 / $33,884.42	Facility		$5,754.40	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $831.76	Professional		$501.19	$501.19	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $1,202.26	Facility		$512.86	$776.25	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,348.96	Professional		$501.19	$707.95	$1,348.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,995.26	Professional		$1,584.89	$1,584.89	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,122.02	Professional		$436.52	$776.25	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,096.48	Professional		$407.38	$549.54	$1,096.48