Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.99 / $5,812.00 / $17,030.00	Facility		$558.99	$5,812.00	$17,030.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,646.48 / $7,954.50 / $17,926.59	Facility	50	$2,646.48	$7,954.50	$17,926.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $316.82 / $990.00	Professional		$180.59	$316.82	$990.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.28 / $477.17 / $1,890.48	Professional	50	$125.28	$477.17	$1,890.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.37 / $446.37 / $446.37	Professional		$446.37	$446.37	$446.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,718.00 / $9,381.00	Facility		$1,787.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.38 / $385.56 / $777.81	Professional		$222.38	$385.56	$777.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $264.61 / $365.95 / $494.38	Professional	50	$264.61	$365.95	$494.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,321.49	Facility		$66.00	$100.00	$5,321.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $273.43 / $562.83	Professional		$170.64	$273.43	$562.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $1,182.65 / $2,786.23	Facility		$1,000.71	$1,182.65	$2,786.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.34 / $315.62 / $722.34	Professional		$188.34	$315.62	$722.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $227.10 / $407.13	Professional		$174.24	$227.10	$407.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.33 / $275.54 / $485.43	Professional		$170.33	$275.54	$485.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.42 / $1,171.38 / $12,000.00	Facility		$1,143.42	$1,171.38	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,164.00 / $2,210.82 / $2,210.82	Professional		$2,164.00	$2,210.82	$2,210.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.79 / $317.45 / $518.40	Facility		$198.79	$317.45	$518.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.09 / $332.87 / $673.35	Professional		$195.09	$332.87	$673.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $538.57 / $538.57 / $819.87	Professional		$538.57	$538.57	$819.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.24 / $243.93 / $347.94	Professional		$174.24	$243.93	$347.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $320.75 / $861.37	Professional		$205.28	$320.75	$861.37