Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.16 / $5,980.00 / $16,713.00	Facility		$1,555.16	$5,980.00	$16,713.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,651.50 / $2,651.50 / $2,651.50	Facility	50	$2,651.50	$2,651.50	$2,651.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.66 / $1,402.57 / $2,631.06	Professional		$283.66	$1,402.57	$2,631.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $628.94 / $628.94 / $628.94	Professional	50	$628.94	$628.94	$628.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $131.82 / $131.82	Professional		$131.82	$131.82	$131.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,399.00	Facility		$2,696.00	$7,166.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.33 / $1,432.18 / $4,206.57	Professional		$426.33	$1,432.18	$4,206.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $474.85 / $2,081.88 / $3,085.24	Professional	50	$474.85	$2,081.88	$3,085.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $1,168.29 / $2,924.67	Professional		$311.77	$1,168.29	$2,924.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.39 / $1,254.31 / $3,047.14	Professional		$337.39	$1,254.31	$3,047.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $255.77 / $417.83 / $2,758.20	Professional		$255.77	$417.83	$2,758.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $1,021.56 / $2,639.58	Professional		$308.00	$1,021.56	$2,639.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,934.20 / $2,934.20	Facility		$55.00	$2,934.20	$2,934.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,958.06 / $11,140.80 / $13,352.55	Professional		$5,958.06	$11,140.80	$13,352.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,289.67	Professional		$32.34	$32.34	$1,289.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.15 / $1,318.27 / $2,580.59	Facility		$336.15	$1,318.27	$2,580.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.08 / $1,401.66 / $3,754.60	Professional		$352.08	$1,401.66	$3,754.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $997.25 / $997.25 / $5,156.68	Professional		$997.25	$997.25	$5,156.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $269.08 / $370.00 / $2,270.92	Professional		$269.08	$370.00	$2,270.92
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $10,001.00 / $23,219.00	Facility		$5,670.00	$10,001.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.14 / $1,874.21 / $4,105.91	Professional		$1,263.14	$1,874.21	$4,105.91