Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.78 / $5,620.78 / $16,973.00	Facility		$1,297.78	$5,620.78	$16,973.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,388.00 / $1,914.75 / $12,293.46	Facility	50	$1,388.00	$1,914.75	$12,293.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.13 / $738.03 / $1,596.23	Professional		$250.13	$738.03	$1,596.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $232.82 / $436.85	Professional		$101.91	$232.82	$436.85
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 $367.82 / $888.94 / $2,632.07	Professional		$367.82	$888.94	$2,632.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $391.54 / $1,287.40 / $1,878.10	Professional	50	$391.54	$1,287.40	$1,878.10
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 $313.05 / $1,035.97 / $2,494.16	Professional		$313.05	$1,035.97	$2,494.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $424.16	Facility		$424.16	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $693.27 / $1,932.25	Professional		$273.94	$693.27	$1,932.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $243.48 / $341.36 / $1,358.19	Professional		$243.48	$341.36	$1,358.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.36 / $650.48 / $1,307.89	Professional		$234.36	$650.48	$1,307.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,657.92 / $1,657.92 / $8,980.00	Facility		$1,657.92	$1,657.92	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,032.60 / $7,304.82 / $7,523.96	Professional		$3,032.60	$7,304.82	$7,523.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $679.43	Professional		$32.34	$32.34	$679.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.60 / $575.17 / $1,628.21	Facility		$276.60	$575.17	$1,628.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.85 / $757.27 / $2,112.04	Professional		$283.85	$757.27	$2,112.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $805.07 / $805.07 / $2,872.77	Professional		$805.07	$805.07	$2,872.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $399.17 / $1,118.02	Professional		$229.20	$399.17	$1,118.02
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 $708.80 / $1,160.14 / $2,425.66	Professional		$708.80	$1,160.14	$2,425.66