Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.85 / $7,550.00 / $20,830.04	Facility		$1,953.85	$7,550.00	$20,830.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,341.05 / $7,923.84 / $39,986.85	Facility	50	$2,341.05	$7,923.84	$39,986.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.86 / $1,096.97 / $3,275.27	Professional		$304.86	$1,096.97	$3,275.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.31 / $456.60 / $2,710.34	Professional	50	$156.31	$456.60	$2,710.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $242.27 / $926.18	Professional		$147.41	$242.27	$926.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $221.14 / $363.40 / $1,389.27	Professional	50	$221.14	$363.40	$1,389.27
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 $469.30 / $1,751.36 / $4,754.85	Professional		$469.30	$1,751.36	$4,754.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $520.80 / $2,409.96 / $3,906.15	Professional	50	$520.80	$2,409.96	$3,906.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,395.80	Facility		$66.00	$100.00	$6,395.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $343.05 / $1,294.83 / $3,329.03	Professional		$343.05	$1,294.83	$3,329.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.07 / $1,497.67 / $3,790.08	Professional		$378.07	$1,497.67	$3,790.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $470.35 / $3,472.98	Professional		$281.45	$470.35	$3,472.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.63 / $1,426.52 / $3,289.38	Professional		$345.63	$1,426.52	$3,289.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,661.25 / $3,661.25	Facility		$55.00	$3,661.25	$3,661.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,434.39 / $13,942.64 / $16,708.28	Professional		$7,434.39	$13,942.64	$16,708.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,629.32	Professional		$32.34	$32.34	$1,629.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.63 / $1,575.91 / $3,236.84	Facility		$378.63	$1,575.91	$3,236.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.66 / $1,657.34 / $4,785.18	Professional		$391.66	$1,657.34	$4,785.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,121.14 / $1,121.14 / $6,582.52	Professional		$1,121.14	$1,121.14	$6,582.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.89 / $416.49 / $2,859.66	Professional		$302.89	$416.49	$2,859.66
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 $1,593.71 / $2,284.11 / $5,717.98	Professional		$1,593.71	$2,284.11	$5,717.98