Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,943.28 / $18,197.01	Facility		$2,951.21	$7,943.28	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,022.64 / $12,022.64 / $18,197.01	Facility	50	$12,022.64	$12,022.64	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $3,090.30	Professional		$457.09	$660.69	$3,090.30
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 $549.54 / $776.25 / $1,737.80	Professional		$549.54	$776.25	$1,737.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,884.03 / $8,709.64	Facility		$66.07	$2,884.03	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $1,445.44	Professional		$407.38	$562.34	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,445.44 / $1,995.26	Facility		$575.44	$1,445.44	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,445.44	Professional		$467.74	$660.69	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $776.25	Professional		$416.87	$616.60	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,258.93	Professional		$457.09	$588.84	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $45,708.82 / $45,708.82	Facility		$5,754.40	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $676.08 / $1,202.26	Facility		$512.86	$676.08	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,445.44	Professional		$478.63	$691.83	$1,445.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $891.25	Professional		$467.74	$616.60	$891.25
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 $426.58 / $549.54 / $1,258.93	Professional		$426.58	$549.54	$1,258.93