Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.02 / $5,099.00 / $10,406.00	Facility		$1,693.02	$5,099.00	$10,406.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,479.66 / $4,711.87 / $9,144.00	Facility	50	$4,479.66	$4,711.87	$9,144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $632.87 / $3,208.00	Professional		$148.96	$632.87	$3,208.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $428.82 / $428.82 / $509.22	Professional		$428.82	$428.82	$509.22
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 $193.92 / $813.56 / $1,725.68	Professional		$193.92	$813.56	$1,725.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,663.63	Facility		$66.70	$100.00	$6,663.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $476.35 / $1,225.88	Professional		$159.13	$476.35	$1,225.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $1,057.45 / $2,491.26	Facility		$894.77	$1,057.45	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $651.04 / $1,712.05	Professional		$172.46	$651.04	$1,712.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.28 / $613.91 / $834.72	Professional		$165.28	$613.91	$834.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $441.97 / $874.96	Professional		$151.37	$441.97	$874.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $709.04 / $885.27	Facility		$55.00	$709.04	$885.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.60 / $3,464.32 / $4,033.05	Professional		$1,797.60	$3,464.32	$4,033.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.59 / $436.21 / $850.49	Facility		$168.59	$436.21	$850.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.66 / $674.14 / $1,594.32	Professional		$177.66	$674.14	$1,594.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $514.85 / $514.85 / $2,029.56	Professional		$514.85	$514.85	$2,029.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $613.91 / $920.88	Professional		$151.80	$613.91	$920.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,218.00 / $10,979.00	Facility		$2,150.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.64 / $755.04 / $2,530.17	Professional		$497.64	$755.04	$2,530.17