Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $7,550.00 / $17,809.00	Facility		$2,700.00	$7,550.00	$17,809.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,292.00 / $7,663.00 / $7,663.00	Facility	50	$7,292.00	$7,663.00	$7,663.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.85 / $541.70 / $2,137.00	Professional		$428.85	$541.70	$2,137.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $470.66 / $589.79 / $1,099.86	Professional		$470.66	$589.79	$1,099.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,870.00 / $11,400.00	Facility		$2,143.00	$5,870.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.01 / $690.23 / $1,390.68	Professional		$519.01	$690.23	$1,390.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $19,950.95	Facility		$66.90	$100.00	$19,950.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $399.81 / $579.14 / $1,298.39	Professional		$399.81	$579.14	$1,298.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $2,948.55 / $5,980.00	Facility		$1,646.28	$2,948.55	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.49 / $632.32 / $1,412.56	Professional		$482.49	$632.32	$1,412.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $250.56 / $620.97 / $838.31	Professional		$250.56	$620.97	$838.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.91 / $690.88 / $1,234.22	Professional		$504.91	$690.88	$1,234.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,943.56 / $5,350.00 / $26,542.00	Facility		$1,943.56	$5,350.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,773.76 / $3,839.44 / $4,470.75	Professional		$3,773.76	$3,839.44	$4,470.75
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 $536.17 / $675.55 / $916.72	Facility		$536.17	$675.55	$916.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.61 / $669.09 / $1,367.05	Professional		$485.61	$669.09	$1,367.05
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,916.00 / $4,916.00 / $4,916.00	Facility		$4,916.00	$4,916.00	$4,916.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,669.47 / $1,669.47 / $1,669.47	Professional		$1,669.47	$1,669.47	$1,669.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $501.39 / $689.41	Professional		$325.73	$501.39	$689.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,713.00 / $21,278.00	Facility		$4,523.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.63 / $517.70 / $1,142.07	Professional		$396.63	$517.70	$1,142.07