Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,466.84 / $13,182.57	Facility		$1,174.90	$4,466.84	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $4,073.80 / $9,772.37	Facility	50	$977.24	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $281.84 / $1,380.38	Professional		$97.72	$281.84	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $870.96	Professional		$93.33	$199.53	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $467.74 / $1,479.11	Professional		$138.04	$467.74	$1,479.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $870.96 / $5,754.40	Facility		$66.07	$870.96	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $457.09 / $1,230.27	Professional		$117.49	$457.09	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Facility		$416.87	$416.87	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $309.03 / $912.01	Professional		$123.03	$309.03	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $489.78	Professional		$93.33	$123.03	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $275.42 / $588.84	Professional		$95.50	$275.42	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,905.46	Facility		$54.95	$56.23	$1,905.46
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	52	$1,513.56	$1,513.56	$1,513.56
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	53	$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $426.58	Professional		$257.04	$257.04	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $323.59 / $676.08	Facility		$114.82	$323.59	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $302.00 / $891.25	Professional		$123.03	$302.00	$891.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,047.13	Professional		$363.08	$363.08	$1,047.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $346.74	Professional		$93.33	$151.36	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $269.15 / $891.25	Professional		$102.33	$269.15	$891.25