Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.42 / $6,132.00 / $16,756.00	Facility		$1,431.42	$6,132.00	$16,756.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,589.50 / $4,665.50 / $17,580.00	Facility	50	$1,589.50	$4,665.50	$17,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.63 / $313.74 / $1,198.83	Professional		$199.63	$313.74	$1,198.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $175.06 / $306.12 / $1,391.48	Professional	50	$175.06	$306.12	$1,391.48
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $163.40 / $163.40 / $324.89	Professional	50	$163.40	$163.40	$324.89
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 $343.42 / $533.82 / $958.65	Professional		$343.42	$533.82	$958.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $341.96 / $427.45 / $522.65	Professional	50	$341.96	$427.45	$522.65
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 $232.14 / $350.92 / $864.16	Professional		$232.14	$350.92	$864.16
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 $298.45 / $384.31 / $1,180.09	Professional		$298.45	$384.31	$1,180.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $259.49 / $322.05 / $490.86	Professional		$259.49	$322.05	$490.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.49 / $340.43 / $599.15	Professional		$263.49	$340.43	$599.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,460.94 / $13,759.35 / $26,542.00	Facility		$1,460.94	$13,759.35	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,305.00 / $5,305.00 / $5,305.00	Professional		$5,305.00	$5,305.00	$5,305.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.39 / $396.08 / $671.29	Facility		$291.39	$396.08	$671.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.48 / $392.41 / $837.93	Professional		$305.48	$392.41	$837.93
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 $856.36 / $856.36 / $856.36	Professional		$856.36	$856.36	$856.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $259.49 / $327.24 / $490.86	Professional		$259.49	$327.24	$490.86
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 $220.69 / $332.97 / $929.44	Professional		$220.69	$332.97	$929.44