Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $6,880.00 / $17,701.00	Facility		$1,174.00	$6,880.00	$17,701.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,577.50 / $3,255.78 / $25,469.41	Facility	50	$1,577.50	$3,255.78	$25,469.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $153.25 / $778.87	Professional		$129.33	$153.25	$778.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.21 / $201.44 / $424.09	Professional		$148.21	$201.44	$424.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $181.95 / $436.62	Professional		$115.43	$181.95	$436.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.83 / $198.55 / $592.95	Professional		$146.83	$198.55	$592.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $202.13 / $1,955.09	Professional		$183.75	$202.13	$1,955.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $203.05 / $361.79	Professional		$156.10	$203.05	$361.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $701.50 / $7,909.30 / $26,542.00	Facility		$701.50	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.80 / $1,134.88 / $1,284.45	Professional		$1,102.80	$1,134.88	$1,284.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $207.62 / $295.58	Facility		$162.44	$207.62	$295.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.35 / $204.60 / $432.84	Professional		$148.35	$204.60	$432.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $483.28 / $483.28 / $483.28	Professional		$483.28	$483.28	$483.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,243.00 / $9,131.00	Facility		$2,230.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $174.58 / $595.38	Professional		$119.83	$174.58	$595.38