Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $1,513.56 / $3,090.30	Professional		$112.20	$1,513.56	$3,090.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional	50	$2,691.53	$2,691.53	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,548.82	Professional		$1,096.48	$1,258.93	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,905.46 / $4,466.84	Professional		$138.04	$1,905.46	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $2,238.72 / $2,630.27	Professional	50	$229.09	$2,238.72	$2,630.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $6,025.60	Facility		$66.07	$2,570.40	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $707.95 / $3,467.37	Professional		$120.23	$707.95	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,479.11	Facility		$1,230.27	$1,230.27	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,148.15 / $3,162.28	Professional		$123.03	$1,148.15	$3,162.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,479.11 / $2,137.96	Professional		$109.65	$1,479.11	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $1,122.02 / $2,511.89	Professional		$102.33	$1,122.02	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,623.41	Facility		$54.95	$56.23	$5,623.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,232.93 / $10,232.93	Professional		$8,709.64	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,737.80	Professional		$1,023.29	$1,023.29	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,348.96 / $2,570.40	Facility		$123.03	$1,348.96	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $389.05 / $3,162.28	Professional		$123.03	$389.05	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $5,128.61	Professional		$380.19	$380.19	$5,128.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,479.11 / $2,511.89	Professional		$100.00	$1,479.11	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $1,148.15 / $3,019.95	Professional		$114.82	$1,148.15	$3,019.95