Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $7,492.00 / $17,902.00	Facility		$1,169.00	$7,492.00	$17,902.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,001.48 / $18,827.00 / $30,154.50	Facility	50	$3,001.48	$18,827.00	$30,154.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.55 / $516.98 / $2,004.96	Professional		$371.55	$516.98	$2,004.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $887.26 / $1,013.11 / $1,061.08	Professional		$887.26	$1,013.11	$1,061.08
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 $483.08 / $662.51 / $1,375.69	Professional		$483.08	$662.51	$1,375.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,427.70	Facility		$66.70	$100.00	$8,427.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $300.51 / $432.39 / $1,112.98	Professional		$300.51	$432.39	$1,112.98
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 $443.31 / $626.03 / $1,383.86	Professional		$443.31	$626.03	$1,383.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $240.51 / $575.04 / $875.91	Professional		$240.51	$575.04	$875.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.77 / $655.17 / $1,109.43	Professional		$470.77	$655.17	$1,109.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.52 / $2,301.42 / $26,542.00	Facility		$2,158.52	$2,301.42	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,310.40 / $4,095.36 / $4,958.93	Professional		$3,310.40	$4,095.36	$4,958.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.62 / $621.64 / $900.72	Facility		$445.62	$621.64	$900.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $652.71 / $1,383.86	Professional		$443.31	$652.71	$1,383.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.48 / $1,479.48 / $1,806.46	Professional		$1,479.48	$1,479.48	$1,806.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $303.30 / $470.51 / $747.65	Professional		$303.30	$470.51	$747.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.74 / $631.61 / $1,645.64	Professional		$423.74	$631.61	$1,645.64