Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,888.44 / $16,595.87	Facility		$1,737.80	$5,888.44	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $724.44 / $3,235.94 / $14,791.08	Facility	50	$724.44	$3,235.94	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $2,290.87	Professional		$446.68	$588.84	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,659.59	Professional		$501.19	$741.31	$1,659.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,079.46	Facility		$66.07	$2,754.23	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,348.96	Professional		$416.87	$616.60	$1,348.96
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 $457.09 / $630.96 / $1,380.38	Professional		$457.09	$630.96	$1,380.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $776.25	Professional		$309.03	$407.38	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,047.13	Professional		$489.78	$660.69	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $19,498.45 / $19,498.45	Facility		$8,709.64	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,786.30 / $4,786.30	Professional		$3,981.07	$4,786.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $1,023.29	Facility		$457.09	$645.65	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,380.38	Professional		$446.68	$630.96	$1,380.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $676.08	Professional		$338.84	$489.78	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,445.44	Professional		$398.11	$562.34	$1,445.44