Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $16,982.44	Facility		$2,344.23	$6,456.54	$16,982.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Facility	50	$22,908.68	$22,908.68	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $2,884.03	Professional		$467.74	$758.58	$2,884.03
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 $537.03 / $812.83 / $1,862.09	Professional		$537.03	$812.83	$1,862.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,128.31	Facility		$66.07	$3,388.44	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,862.09	Professional		$524.81	$891.25	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Facility		$1,778.28	$1,778.28	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,513.56	Professional		$501.19	$776.25	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,202.26	Professional		$478.63	$660.69	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,445.44	Professional		$478.63	$794.33	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $28,840.32 / $28,840.32	Facility		$7,943.28	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,309.57 / $6,309.57	Professional		$5,754.40	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,047.13	Professional		$616.60	$616.60	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,380.38	Facility		$524.81	$831.76	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,548.82	Professional		$489.78	$794.33	$1,548.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,344.23	Professional		$1,584.89	$1,584.89	$2,344.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,047.13	Professional		$478.63	$776.25	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,621.81	Professional		$426.58	$676.08	$1,621.81