Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.30 / $6,768.00 / $16,832.03	Facility		$1,156.30	$6,768.00	$16,832.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,464.50 / $8,128.00 / $11,870.32	Facility	50	$3,464.50	$8,128.00	$11,870.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.61 / $468.31 / $1,926.00	Professional		$353.61	$468.31	$1,926.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.74 / $793.28 / $2,096.17	Professional		$411.74	$793.28	$2,096.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.82 / $597.02 / $1,239.72	Professional		$430.82	$597.02	$1,239.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,919.07	Facility		$66.70	$100.00	$7,919.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $279.75 / $399.64 / $1,029.68	Professional		$279.75	$399.64	$1,029.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $2,296.29 / $5,409.85	Facility		$1,943.01	$2,296.29	$5,409.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $571.29 / $1,271.33	Professional		$402.08	$571.29	$1,271.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $571.55 / $799.40	Professional		$210.72	$571.55	$799.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.51 / $597.11 / $992.66	Professional		$426.51	$597.11	$992.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,953.68 / $2,089.53 / $26,542.00	Facility		$1,953.68	$2,089.53	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,998.80 / $3,719.28 / $4,492.20	Professional		$2,998.80	$3,719.28	$4,492.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.87 / $555.41 / $811.62	Facility		$414.87	$555.41	$811.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.77 / $594.37 / $1,262.53	Professional		$405.77	$594.37	$1,262.53
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,503.00 / $4,503.00 / $4,503.00	Facility		$4,503.00	$4,503.00	$4,503.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,335.67 / $1,335.67 / $1,638.62	Professional		$1,335.67	$1,335.67	$1,638.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $496.30 / $682.42	Professional		$210.72	$496.30	$682.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.43 / $566.28 / $1,627.43	Professional		$381.43	$566.28	$1,627.43