Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,585.78 / $18,197.01	Facility		$3,235.94	$7,585.78	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $7,585.78 / $21,379.62	Facility	50	$891.25	$7,585.78	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $2,238.72	Professional		$446.68	$660.69	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $1,096.48	Professional		$436.52	$489.78	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,479.11	Professional		$524.81	$724.44	$1,479.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $22,387.21	Facility		$66.07	$3,630.78	$22,387.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,445.44	Professional		$512.86	$741.31	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $5,011.87	Facility		$1,659.59	$1,659.59	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,348.96	Professional		$478.63	$630.96	$1,348.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $575.44 / $776.25	Professional		$251.19	$575.44	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,148.15	Professional		$467.74	$616.60	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $50,118.72 / $50,118.72	Facility		$5,370.32	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $4,466.84	Professional		$3,801.89	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $1,000.00	Facility		$501.19	$660.69	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,348.96	Professional		$478.63	$645.65	$1,348.96
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $562.34	Professional		$316.23	$446.68	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $9,772.37 / $20,892.96	Facility		$4,365.16	$9,772.37	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,122.02	Professional		$398.11	$524.81	$1,122.02