Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.51 / $4,821.75 / $16,008.00	Facility		$969.51	$4,821.75	$16,008.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $727.80 / $2,520.00 / $6,183.75	Facility	50	$727.80	$2,520.00	$6,183.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $789.54 / $1,357.41	Professional		$163.36	$789.54	$1,357.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $876.25 / $1,287.27 / $3,192.96	Professional	50	$876.25	$1,287.27	$3,192.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $120.04 / $135.68	Professional		$120.04	$120.04	$135.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.71 / $859.95 / $2,068.56	Professional		$254.71	$859.95	$2,068.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $335.75 / $1,298.23 / $1,622.79	Professional	50	$335.75	$1,298.23	$1,622.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $198.43 / $660.13 / $1,589.31	Professional		$198.43	$660.13	$1,589.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.04 / $701.15 / $1,773.29	Professional		$180.04	$701.15	$1,773.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $179.44 / $1,246.97	Professional		$113.55	$179.44	$1,246.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $581.66 / $1,404.93	Professional		$168.85	$581.66	$1,404.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,475.05 / $1,475.05	Facility		$55.00	$1,475.05	$1,475.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,995.17 / $5,698.08 / $6,737.40	Professional		$2,995.17	$5,698.08	$6,737.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $308.35 / $1,402.56	Facility		$196.75	$308.35	$1,402.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $565.01 / $1,834.94	Professional		$181.64	$565.01	$1,834.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $558.28 / $558.28 / $2,964.98	Professional		$558.28	$558.28	$2,964.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $193.04 / $1,155.28	Professional		$113.55	$193.04	$1,155.28
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $6,920.00	Facility		$548.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.28 / $1,042.84 / $2,738.77	Professional		$724.28	$1,042.84	$2,738.77