Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.92 / $6,423.00 / $17,030.00	Facility		$559.92	$6,423.00	$17,030.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,590.46 / $8,590.46 / $8,590.46	Facility	50	$8,590.46	$8,590.46	$8,590.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.75 / $510.39 / $1,079.91	Professional		$375.75	$510.39	$1,079.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,420.10 / $1,420.10 / $1,420.10	Professional	50	$1,420.10	$1,420.10	$1,420.10
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 $423.16 / $672.65 / $1,274.58	Professional		$423.16	$672.65	$1,274.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $759.21 / $884.50 / $1,012.71	Professional	50	$759.21	$884.50	$1,012.71
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 $417.47 / $596.38 / $1,228.32	Professional		$417.47	$596.38	$1,228.32
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 $437.85 / $640.23 / $1,227.01	Professional		$437.85	$640.23	$1,227.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $419.58 / $651.59 / $977.17	Professional		$419.58	$651.59	$977.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.38 / $638.14 / $1,121.94	Professional		$437.38	$638.14	$1,121.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,100.80 / $3,182.70 / $26,542.00	Facility		$3,100.80	$3,182.70	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,405.00 / $4,405.00 / $4,860.45	Professional		$4,405.00	$4,405.00	$4,860.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.99 / $719.74 / $1,049.55	Facility		$542.99	$719.74	$1,049.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.47 / $691.27 / $1,348.08	Professional		$451.47	$691.27	$1,348.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,490.45 / $1,490.45 / $1,926.83	Professional		$1,490.45	$1,490.45	$1,926.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $475.81 / $624.28 / $804.61	Professional		$475.81	$624.28	$804.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.64 / $581.17 / $1,476.76	Professional		$454.64	$581.17	$1,476.76