Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,025.60 / $16,595.87	Facility		$2,137.96	$6,025.60	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,511.89 / $5,888.44 / $13,803.84	Facility	50	$2,511.89	$5,888.44	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,862.09	Professional		$426.58	$616.60	$1,862.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $1,000.00	Professional	50	$478.63	$478.63	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,513.56	Professional		$489.78	$724.44	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $588.84 / $851.14 / $1,258.93	Professional	50	$588.84	$851.14	$1,258.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,884.03 / $7,762.47	Facility		$66.07	$2,884.03	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,659.59	Professional		$467.74	$707.95	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,445.44 / $1,995.26	Facility		$501.19	$1,445.44	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,230.27	Professional		$457.09	$660.69	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,023.29	Professional		$426.58	$645.65	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,148.15	Professional		$416.87	$630.96	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $28,840.32 / $28,840.32	Facility		$5,754.40	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $812.83	Professional		$489.78	$489.78	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $1,096.48	Facility		$501.19	$707.95	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,288.25	Professional		$467.74	$691.83	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,905.46	Professional		$1,513.56	$1,513.56	$1,905.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $851.14	Professional		$426.58	$645.65	$851.14
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 $380.19 / $524.81 / $1,071.52	Professional		$380.19	$524.81	$1,071.52