Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,585.78 / $17,782.79	Facility		$2,754.23	$7,585.78	$17,782.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $10,000.00 / $19,952.62	Facility	50	$4,570.88	$10,000.00	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $2,691.53	Professional		$512.86	$831.76	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,230.27 / $1,548.82	Professional		$660.69	$1,230.27	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,949.84	Professional		$630.96	$870.96	$1,949.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,000.00	Facility		$66.07	$3,890.45	$10,000.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,584.89	Professional		$489.78	$707.95	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,290.87	Facility		$1,949.84	$1,949.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $1,659.59	Professional		$407.38	$776.25	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $707.95 / $954.99	Professional		$331.13	$707.95	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,479.11	Professional		$588.84	$776.25	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $501.19 / $501.19 / $501.19	Professional	80	$501.19	$501.19	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $45,708.82 / $45,708.82	Facility		$8,709.64	$45,708.82	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	AS	$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $5,754.40	Professional		$4,677.35	$5,754.40	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $1,288.25	Facility		$616.60	$812.83	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,698.24	Professional		$398.11	$776.25	$1,698.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $645.65	Professional		$331.13	$562.34	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,585.78 / $15,135.61	Facility		$4,073.80	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,862.09	Professional		$501.19	$707.95	$1,862.09