Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.98 / $6,218.00 / $17,030.00	Facility		$363.98	$6,218.00	$17,030.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,467.00 / $2,467.00 / $2,467.00	Facility	50	$2,467.00	$2,467.00	$2,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.96 / $348.74 / $1,253.56	Professional		$237.96	$348.74	$1,253.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
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 $251.18 / $409.95 / $895.56	Professional		$251.18	$409.95	$895.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $537.23 / $632.04 / $702.27	Professional	50	$537.23	$632.04	$702.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,680.36	Facility		$66.00	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $257.17 / $385.25 / $793.00	Professional		$257.17	$385.25	$793.00
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 $271.80 / $449.36 / $953.86	Professional		$271.80	$449.36	$953.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.92 / $459.28 / $807.92	Professional		$234.92	$459.28	$807.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.52 / $505.90 / $911.09	Professional		$319.52	$505.90	$911.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,140.08 / $2,200.44 / $26,542.00	Facility		$2,140.08	$2,200.44	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,266.80 / $3,571.45 / $3,919.73	Professional		$2,266.80	$3,571.45	$3,919.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.05 / $472.33 / $756.13	Facility		$308.05	$472.33	$756.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $481.63 / $1,048.33	Professional		$274.52	$481.63	$1,048.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,020.67 / $1,020.67 / $1,576.07	Professional		$1,020.67	$1,020.67	$1,576.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $414.76 / $544.41	Professional		$305.39	$414.76	$544.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,582.00 / $7,206.00 / $14,636.00	Facility		$1,582.00	$7,206.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $454.92 / $1,214.50	Professional		$327.60	$454.92	$1,214.50