Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,243.94 / $7,945.00 / $17,902.00	Facility		$2,243.94	$7,945.00	$17,902.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,323.62 / $9,447.50 / $21,940.50	Facility	50	$2,323.62	$9,447.50	$21,940.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.15 / $276.14 / $987.93	Professional		$183.15	$276.14	$987.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.52 / $188.28 / $1,571.00	Professional	50	$88.52	$188.28	$1,571.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.08 / $398.08 / $398.08	Professional		$398.08	$398.08	$398.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,362.00 / $15,328.00	Facility		$2,629.00	$7,362.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.17 / $489.16 / $1,231.75	Professional		$298.17	$489.16	$1,231.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $387.25 / $599.23 / $861.20	Professional	50	$387.25	$599.23	$861.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,181.81	Facility		$66.70	$100.00	$8,181.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $405.30 / $716.53	Professional		$231.88	$405.30	$716.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,064.55 / $3,621.74 / $8,532.51	Facility		$3,064.55	$3,621.74	$8,532.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.47 / $436.15 / $1,110.14	Professional		$271.47	$436.15	$1,110.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $239.02 / $323.05 / $698.45	Professional		$239.02	$323.05	$698.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $448.98 / $805.91	Professional		$243.61	$448.98	$805.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,653.72 / $1,694.76 / $26,542.00	Facility		$1,653.72	$1,694.76	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,389.00 / $4,486.05 / $4,486.05	Professional		$4,389.00	$4,486.05	$4,486.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.14 / $442.43 / $707.89	Facility		$283.14	$442.43	$707.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $479.88 / $1,095.58	Professional		$274.88	$479.88	$1,095.58
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,289.00 / $4,289.00 / $4,289.00	Facility		$4,289.00	$4,289.00	$4,289.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $785.46 / $785.46 / $1,387.74	Professional		$785.46	$785.46	$1,387.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.02 / $334.62 / $596.97	Professional		$239.02	$334.62	$596.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,402.00 / $16,148.00	Facility		$3,800.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.90 / $443.63 / $1,715.40	Professional		$247.90	$443.63	$1,715.40