Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,086.38 / $6,588.00 / $17,380.00	Facility		$2,086.38	$6,588.00	$17,380.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,046.32 / $12,046.32 / $18,192.40	Facility	50	$12,046.32	$12,046.32	$18,192.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.08 / $616.64 / $2,833.12	Professional		$442.08	$616.64	$2,833.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,945.00 / $13,707.00	Facility		$2,143.00	$6,945.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.03 / $737.88 / $1,435.37	Professional		$514.03	$737.88	$1,435.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,833.76	Facility		$66.00	$100.00	$7,833.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $334.90 / $478.43 / $1,090.05	Professional		$334.90	$478.43	$1,090.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $1,458.73 / $1,988.34	Facility		$571.29	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.69 / $660.20 / $1,514.59	Professional		$470.69	$660.20	$1,514.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $413.25 / $664.25 / $896.74	Professional		$413.25	$664.25	$896.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.77 / $695.36 / $1,335.98	Professional		$522.77	$695.36	$1,335.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,045.24 / $11,500.00 / $26,542.00	Facility		$3,045.24	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,211.45 / $6,211.45 / $6,211.45	Professional		$6,211.45	$6,211.45	$6,211.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.67 / $709.37 / $1,284.00	Facility		$572.67	$709.37	$1,284.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.69 / $689.63 / $1,536.15	Professional		$470.69	$689.63	$1,536.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,836.76 / $1,836.76 / $1,836.76	Professional		$1,836.76	$1,836.76	$1,836.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $521.15 / $619.88 / $885.95	Professional		$521.15	$619.88	$885.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.13 / $555.10 / $1,382.92	Professional		$428.13	$555.10	$1,382.92