Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.23 / $7,631.00 / $20,135.00	Facility		$1,772.23	$7,631.00	$20,135.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,666.93 / $2,068.28 / $2,323.62	Facility	50	$1,666.93	$2,068.28	$2,323.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $1,471.64 / $5,068.35	Professional		$230.93	$1,471.64	$5,068.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,615.42 / $5,754.06 / $8,671.32	Professional	50	$5,615.42	$5,754.06	$8,671.32
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $4,814.93 / $4,814.93 / $4,814.93	Professional	50	$4,814.93	$4,814.93	$4,814.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,191.00 / $13,697.00	Facility		$2,456.00	$6,191.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.95 / $5,725.92 / $12,482.21	Professional		$361.95	$5,725.92	$12,482.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $407.17 / $5,284.83 / $6,042.65	Professional	50	$407.17	$5,284.83	$6,042.65
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $38.00 / $493.25 / $563.98	Professional	AS	$38.00	$493.25	$563.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,395.80	Facility		$66.00	$100.00	$6,395.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $254.97 / $1,059.51 / $7,788.15	Professional		$254.97	$1,059.51	$7,788.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,928.37 / $4,642.62 / $10,937.60	Facility		$3,928.37	$4,642.62	$10,937.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.77 / $3,886.04 / $10,760.05	Professional		$270.77	$3,886.04	$10,760.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $282.33 / $3,616.52 / $4,783.18	Professional		$282.33	$3,616.52	$4,783.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.58 / $2,196.29 / $5,744.13	Professional		$255.58	$2,196.29	$5,744.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,735.56 / $1,782.66 / $5,897.00	Facility		$1,735.56	$1,782.66	$5,897.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,142.77 / $21,145.72 / $24,951.75	Professional		$11,142.77	$21,145.72	$24,951.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.97 / $3,053.47 / $5,344.31	Facility		$290.97	$3,053.47	$5,344.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.73 / $4,064.40 / $10,141.68	Professional		$278.73	$4,064.40	$10,141.68
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $954.73 / $1,193.60 / $342,108.00	Professional	AS	$954.73	$1,193.60	$342,108.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $825.36 / $825.36 / $12,218.15	Professional		$825.36	$825.36	$12,218.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $3,616.52 / $5,424.78	Professional		$256.45	$3,616.52	$5,424.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,810.00 / $21,278.00	Facility		$4,728.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,961.21 / $4,390.72 / $12,471.15	Professional		$2,961.21	$4,390.72	$12,471.15