Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.19 / $6,537.00 / $17,382.00	Facility		$570.19	$6,537.00	$17,382.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,480.79 / $8,480.79 / $11,100.00	Facility	50	$8,480.79	$8,480.79	$11,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.81 / $537.87 / $1,586.26	Professional		$393.81	$537.87	$1,586.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $596.84 / $596.84 / $4,007.74	Professional	50	$596.84	$596.84	$4,007.74
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 $416.89 / $671.44 / $1,258.71	Professional		$416.89	$671.44	$1,258.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $735.93 / $888.41 / $1,038.00	Professional	50	$735.93	$888.41	$1,038.00
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 $424.52 / $606.46 / $1,219.49	Professional		$424.52	$606.46	$1,219.49
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 $445.79 / $667.00 / $1,283.41	Professional		$445.79	$667.00	$1,283.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $654.54 / $1,080.26	Professional		$421.82	$654.54	$1,080.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.75 / $694.46 / $1,229.71	Professional		$456.75	$694.46	$1,229.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,117.18 / $3,197.16 / $26,542.00	Facility		$3,117.18	$3,197.16	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,165.00 / $4,634.47 / $5,333.93	Professional		$4,165.00	$4,634.47	$5,333.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.49 / $727.49 / $1,086.09	Facility		$535.49	$727.49	$1,086.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.13 / $711.46 / $1,402.66	Professional		$454.13	$711.46	$1,402.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,498.52 / $1,498.52 / $2,140.46	Professional		$1,498.52	$1,498.52	$2,140.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.15 / $646.94 / $889.55	Professional		$478.15	$646.94	$889.55
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 $480.33 / $626.03 / $1,470.53	Professional		$480.33	$626.03	$1,470.53