Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,244.36 / $19,952.62	Facility		$2,137.96	$7,244.36	$19,952.62
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility	80	$11,220.18	$11,220.18	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $676.08 / $2,754.23	Professional		$169.82	$676.08	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $416.87 / $1,174.90	Professional		$66.07	$416.87	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,949.84	Professional		$707.95	$1,122.02	$1,949.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,677.35 / $10,715.19	Facility		$66.07	$4,677.35	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,737.80	Professional		$616.60	$891.25	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $8,511.38 / $26,302.68	Facility		$3,090.30	$8,511.38	$26,302.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,584.89	Professional		$616.60	$794.33	$1,584.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $891.25	Professional		$446.68	$660.69	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,288.25	Professional		$537.03	$707.95	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,128.61 / $5,128.61	Professional		$4,570.88	$5,128.61	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $794.33 / $1,412.54	Facility		$588.84	$794.33	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,584.89	Professional		$602.56	$812.83	$1,584.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $954.99	Professional		$537.03	$660.69	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,380.38	Professional		$478.63	$660.69	$1,380.38