Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,497.08 / $5,815.00 / $17,319.07	Facility		$1,497.08	$5,815.00	$17,319.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,977.25 / $6,788.47 / $27,298.52	Facility	50	$3,977.25	$6,788.47	$27,298.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $1,398.80 / $2,785.48	Professional		$285.25	$1,398.80	$2,785.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $693.13 / $1,615.71 / $2,546.46	Professional	50	$693.13	$1,615.71	$2,546.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $290.83 / $434.80 / $1,559.63	Professional		$290.83	$434.80	$1,559.63
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $380.44 / $398.21 / $479.14	Professional	50	$380.44	$398.21	$479.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,311.00 / $15,399.00	Facility		$2,696.00	$7,311.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.22 / $1,495.26 / $4,239.05	Professional		$428.22	$1,495.26	$4,239.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $476.89 / $2,096.92 / $3,247.50	Professional	50	$476.89	$2,096.92	$3,247.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,620.13	Facility		$66.00	$100.00	$5,620.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $313.06 / $1,177.72 / $2,967.79	Professional		$313.06	$1,177.72	$2,967.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $558.72 / $558.72	Facility		$558.72	$558.72	$558.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.32 / $1,288.30 / $3,148.66	Professional		$340.32	$1,288.30	$3,148.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $422.06 / $2,914.58	Professional		$256.89	$422.06	$2,914.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.39 / $1,207.49 / $2,765.78	Professional		$310.39	$1,207.49	$2,765.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,084.78 / $3,084.78	Facility		$55.00	$3,084.78	$3,084.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,263.82 / $11,741.92 / $14,060.18	Professional		$6,263.82	$11,741.92	$14,060.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,356.38	Professional		$32.34	$32.34	$1,356.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.26 / $1,387.50 / $2,727.05	Facility		$339.26	$1,387.50	$2,727.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.73 / $1,435.94 / $3,950.98	Professional		$353.73	$1,435.94	$3,950.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,002.52 / $1,002.52 / $5,384.36	Professional		$1,002.52	$1,002.52	$5,384.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $373.78 / $2,399.80	Professional		$271.83	$373.78	$2,399.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,904.00 / $32,540.00	Facility		$7,696.00	$13,904.00	$32,540.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.28 / $1,981.17 / $4,528.85	Professional		$1,323.28	$1,981.17	$4,528.85