Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.30 / $5,740.00 / $17,013.00	Facility		$732.30	$5,740.00	$17,013.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $22,703.00 / $22,703.00 / $22,703.00	Facility	50	$22,703.00	$22,703.00	$22,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.57 / $672.19 / $2,327.31	Professional		$460.57	$672.19	$2,327.31
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 $508.16 / $749.76 / $1,702.16	Professional		$508.16	$749.76	$1,702.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,343.60	Facility		$66.00	$100.00	$7,343.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $502.33 / $717.61 / $1,651.22	Professional		$502.33	$717.61	$1,651.22
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 $504.86 / $788.19 / $1,797.13	Professional		$504.86	$788.19	$1,797.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $483.99 / $716.00 / $1,207.08	Professional		$483.99	$716.00	$1,207.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.50 / $814.95 / $1,407.14	Professional		$520.50	$814.95	$1,407.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,418.20 / $3,507.60 / $16,394.00	Facility		$3,418.20	$3,507.60	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,058.00 / $5,714.48 / $6,247.88	Professional		$5,058.00	$5,714.48	$6,247.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.70 / $795.35 / $1,320.00	Facility		$523.70	$795.35	$1,320.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.54 / $827.31 / $1,803.92	Professional		$509.54	$827.31	$1,803.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,595.19 / $1,595.19 / $2,334.51	Professional		$1,595.19	$1,595.19	$2,334.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $483.99 / $677.59 / $1,031.90	Professional		$483.99	$677.59	$1,031.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,120.00 / $16,148.00	Facility		$3,698.00	$7,120.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.35 / $802.00 / $2,273.66	Professional		$541.35	$802.00	$2,273.66