Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $8,709.64 / $22,387.21	Facility		$3,235.94	$8,709.64	$22,387.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $6,165.95 / $18,620.87	Facility	50	$3,630.78	$6,165.95	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $2,398.83	Professional		$380.19	$602.56	$2,398.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $588.84 / $3,019.95	Professional	50	$77.62	$588.84	$3,019.95
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 $457.09 / $707.95 / $1,445.44	Professional		$457.09	$707.95	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $758.58 / $1,122.02	Professional	50	$537.03	$758.58	$1,122.02
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 $436.52 / $616.60 / $1,445.44	Professional		$436.52	$616.60	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,995.26	Facility		$707.95	$1,047.13	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,148.15	Professional		$416.87	$588.84	$1,148.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $954.99	Professional		$436.52	$616.60	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,071.52	Professional		$389.05	$575.44	$1,071.52
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 $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $758.58	Professional		$446.68	$446.68	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $676.08 / $1,023.29	Facility		$467.74	$676.08	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,174.90	Professional		$426.58	$602.56	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,698.24	Professional		$1,412.54	$1,412.54	$1,698.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $812.83	Professional		$407.38	$602.56	$812.83
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 $354.81 / $467.74 / $977.24	Professional		$354.81	$467.74	$977.24