Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.17 / $5,823.00 / $17,013.00	Facility		$1,289.17	$5,823.00	$17,013.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,413.00 / $2,413.00 / $2,413.00	Facility	50	$2,413.00	$2,413.00	$2,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.59 / $975.03 / $1,994.49	Professional		$227.59	$975.03	$1,994.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $430.70 / $491.17 / $502.20	Professional		$430.70	$491.17	$502.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,663.00 / $7,070.00 / $14,103.00	Facility		$2,663.00	$7,070.00	$14,103.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.36 / $943.39 / $2,730.54	Professional		$330.36	$943.39	$2,730.54
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 $244.34 / $828.09 / $2,180.00	Professional		$244.34	$828.09	$2,180.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $397.55	Facility		$397.55	$397.55	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.35 / $850.48 / $2,527.33	Professional		$254.35	$850.48	$2,527.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $304.35 / $2,089.17	Professional		$202.90	$304.35	$2,089.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.01 / $858.96 / $1,983.37	Professional		$222.01	$858.96	$1,983.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,182.75 / $2,182.75 / $8,980.00	Facility		$2,182.75	$2,182.75	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,432.21 / $8,438.87 / $9,989.85	Professional		$4,432.21	$8,438.87	$9,989.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $995.75	Professional		$32.34	$32.34	$995.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.83 / $480.74 / $2,081.36	Facility		$259.83	$480.74	$2,081.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.50 / $979.44 / $3,100.61	Professional		$259.50	$979.44	$3,100.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $761.63 / $761.63 / $4,524.35	Professional		$761.63	$761.63	$4,524.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $332.64 / $1,720.55	Professional		$202.90	$332.64	$1,720.55
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.08 / $1,516.09 / $3,491.55	Professional		$1,054.08	$1,516.09	$3,491.55