Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $6,740.58 / $17,809.00	Facility		$656.00	$6,740.58	$17,809.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,723.50 / $13,926.21 / $45,808.64	Facility	50	$4,723.50	$13,926.21	$45,808.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $540.08 / $1,480.90	Professional		$428.62	$540.08	$1,480.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,141.71 / $1,484.52 / $3,352.13	Professional	50	$1,141.71	$1,484.52	$3,352.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.17 / $733.09 / $1,407.94	Professional		$455.17	$733.09	$1,407.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $779.74 / $934.45 / $1,051.34	Professional	50	$779.74	$934.45	$1,051.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,497.06	Facility		$66.00	$100.00	$9,497.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $442.80 / $632.57 / $1,355.04	Professional		$442.80	$632.57	$1,355.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,458.73 / $1,988.34	Facility		$705.31	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.68 / $680.99 / $1,305.00	Professional		$482.68	$680.99	$1,305.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $569.82 / $735.06 / $992.33	Professional		$569.82	$735.06	$992.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.28 / $661.55 / $1,242.21	Professional		$460.28	$661.55	$1,242.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,274.32 / $3,362.52 / $26,542.00	Facility		$3,274.32	$3,362.52	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,569.00 / $7,569.00 / $7,569.00	Professional		$7,569.00	$7,569.00	$7,569.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.54 / $773.36 / $1,214.53	Facility		$575.54	$773.36	$1,214.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.26 / $726.85 / $1,423.50	Professional		$485.26	$726.85	$1,423.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,580.59 / $1,580.59 / $1,982.11	Professional		$1,580.59	$1,580.59	$1,982.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $518.12 / $751.20 / $1,126.80	Professional		$518.12	$751.20	$1,126.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $610.03 / $1,500.05	Professional		$476.00	$610.03	$1,500.05