Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.00 / $6,182.09 / $16,756.00	Facility		$783.00	$6,182.09	$16,756.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,420.17 / $8,420.17 / $10,978.50	Facility	50	$8,420.17	$8,420.17	$10,978.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.05 / $443.22 / $2,023.97	Professional		$284.05	$443.22	$2,023.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $312.02 / $339.18	Professional		$150.66	$312.02	$339.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.75 / $487.98 / $1,048.10	Professional		$330.75	$487.98	$1,048.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $7,826.58	Facility		$66.90	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $326.49 / $468.61 / $952.93	Professional		$326.49	$468.61	$952.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.34 / $567.34 / $1,098.57	Professional		$380.34	$567.34	$1,098.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $512.83 / $899.56	Professional		$202.53	$512.83	$899.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.75 / $611.49 / $1,032.15	Professional		$401.75	$611.49	$1,032.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,838.80 / $2,001.70 / $26,542.00	Facility		$1,838.80	$2,001.70	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,920.24 / $4,527.45	Professional		$2,880.00	$3,920.24	$4,527.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.13 / $565.92 / $843.41	Facility		$428.13	$565.92	$843.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.43 / $593.95 / $1,159.02	Professional		$380.43	$593.95	$1,159.02
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,841.00 / $3,841.00 / $3,841.00	Facility		$3,841.00	$3,841.00	$3,841.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,255.84 / $1,255.84 / $1,801.62	Professional		$1,255.84	$1,255.84	$1,801.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $283.54 / $423.76 / $740.54	Professional		$283.54	$423.76	$740.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.81 / $523.59 / $1,235.21	Professional		$395.81	$523.59	$1,235.21