Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,848.00 / $17,054.00	Facility		$1,256.22	$5,848.00	$17,054.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,768.09 / $6,373.00 / $14,682.68	Facility	50	$2,768.09	$6,373.00	$14,682.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $164.42 / $767.00	Professional		$83.66	$164.42	$767.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.66 / $376.11 / $1,074.00	Professional	50	$128.66	$376.11	$1,074.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $231.43 / $473.91	Professional		$161.46	$231.43	$473.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $198.51 / $228.76 / $318.10	Professional	50	$198.51	$228.76	$318.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,501.98	Facility		$66.70	$100.00	$7,501.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $198.91 / $478.80	Professional		$126.58	$198.91	$478.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.46 / $981.46 / $2,312.23	Facility		$830.46	$981.46	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $208.48 / $637.67	Professional		$159.00	$208.48	$637.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $191.96 / $259.14	Professional		$120.63	$191.96	$259.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $213.79 / $379.96	Professional		$164.45	$213.79	$379.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.80 / $3,728.65 / $26,542.00	Facility		$741.80	$3,728.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.86 / $1,429.86 / $1,444.89	Professional		$1,429.86	$1,429.86	$1,444.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.44 / $222.19 / $329.70	Facility		$170.44	$222.19	$329.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $215.36 / $454.76	Professional		$159.00	$215.36	$454.76
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,778.00 / $2,778.00 / $2,778.00	Facility		$2,778.00	$2,778.00	$2,778.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.91 / $512.91 / $512.91	Professional		$512.91	$512.91	$512.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $180.94 / $228.18	Professional		$120.63	$180.94	$228.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,084.96 / $4,213.00 / $10,979.00	Facility		$2,084.96	$4,213.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $187.06 / $516.25	Professional		$129.63	$187.06	$516.25