Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,128.61 / $10,964.78	Facility		$1,905.46	$5,128.61	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,466.84 / $7,762.47 / $9,120.11	Facility	50	$4,466.84	$7,762.47	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $575.44 / $2,884.03	Professional		$144.54	$575.44	$2,884.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $2,884.03	Professional		$281.84	$354.81	$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 $204.17 / $831.76 / $1,819.70	Professional		$204.17	$831.76	$1,819.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,090.30 / $7,413.10	Facility		$66.07	$3,090.30	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $616.60 / $1,412.54	Professional		$169.82	$616.60	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Facility		$891.25	$891.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $588.84 / $1,288.25	Professional		$173.78	$588.84	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $616.60 / $812.83	Professional		$141.25	$616.60	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $426.58 / $891.25	Professional		$131.83	$426.58	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,981.07	Facility		$54.95	$56.23	$3,981.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,073.80	Professional		$3,467.37	$4,073.80	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $676.08	Professional		$407.38	$407.38	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $478.63 / $912.01	Facility		$154.88	$478.63	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $575.44 / $1,288.25	Professional		$177.83	$575.44	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $2,041.74	Professional		$512.86	$512.86	$2,041.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $575.44 / $1,047.13	Professional		$128.82	$575.44	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,549.93	Facility		$2,344.23	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $501.19 / $1,230.27	Professional		$147.91	$501.19	$1,230.27