Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $9,549.93 / $22,387.21	Facility		$3,630.78	$9,549.93	$22,387.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $2,089.30 / $6,309.57	Facility	50	$1,659.59	$2,089.30	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $2,951.21 / $7,079.46	Professional		$229.09	$2,951.21	$7,079.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,623.41 / $5,888.44 / $8,709.64	Professional	50	$5,623.41	$5,888.44	$8,709.64
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $4,073.80 / $4,265.80 / $12,589.25	Professional	50	$4,073.80	$4,265.80	$12,589.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $6,309.57 / $12,882.50	Professional		$398.11	$6,309.57	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $446.68 / $5,011.87 / $6,456.54	Professional	50	$446.68	$5,011.87	$6,456.54
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $41.69 / $467.74 / $602.56	Professional	AS	$41.69	$467.74	$602.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,762.47	Facility		$66.07	$2,754.23	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $2,238.72 / $8,912.51	Professional		$275.42	$2,238.72	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,677.35	Facility		$3,890.45	$3,890.45	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $3,090.30 / $8,128.31	Professional		$281.84	$3,090.30	$8,128.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $3,630.78 / $4,897.79	Professional		$239.88	$3,630.78	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $2,570.40 / $5,888.44	Professional		$218.78	$2,570.40	$5,888.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,782.79	Facility		$54.95	$56.23	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $25,118.86 / $25,118.86	Professional		$21,379.62	$25,118.86	$25,118.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $4,168.69	Professional		$2,511.89	$2,511.89	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,162.28 / $6,025.60	Facility		$257.04	$3,162.28	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $3,019.95 / $7,943.28	Professional		$275.42	$3,019.95	$7,943.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $12,302.69	Professional		$831.76	$831.76	$12,302.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $3,630.78 / $6,165.95	Professional		$218.78	$3,630.78	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $2,691.53 / $7,079.46	Professional		$234.42	$2,691.53	$7,079.46