Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.52 / $5,935.68 / $17,030.00	Facility		$1,256.52	$5,935.68	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $1,490.62 / $2,983.59	Professional		$109.37	$1,490.62	$2,983.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,685.28 / $2,685.28 / $2,685.28	Professional	50	$2,685.28	$2,685.28	$2,685.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,027.26 / $1,155.67 / $1,435.04	Professional		$1,027.26	$1,155.67	$1,435.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,718.00 / $9,381.00	Facility		$1,787.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.05 / $1,682.13 / $3,724.89	Professional		$122.05	$1,682.13	$3,724.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $231.69 / $2,247.64 / $2,493.61	Professional	50	$231.69	$2,247.64	$2,493.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,509.60	Facility		$65.90	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.46 / $471.38 / $2,898.00	Professional		$114.46	$471.38	$2,898.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.41 / $1,239.41 / $1,464.75	Facility		$1,239.41	$1,239.41	$1,464.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $1,204.55 / $3,368.43	Professional		$121.79	$1,204.55	$3,368.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $1,480.64 / $1,966.09	Professional		$121.89	$1,480.64	$1,966.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $905.61 / $2,187.39	Professional		$115.96	$905.61	$2,187.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $535.91 / $556.61	Facility		$55.00	$535.91	$556.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,581.68 / $8,799.82 / $10,348.04	Professional		$4,581.68	$8,799.82	$10,348.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.56 / $1,239.41 / $2,295.62	Facility		$127.56	$1,239.41	$2,295.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $459.11 / $3,394.79	Professional		$123.70	$459.11	$3,394.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $381.00 / $5,125.89	Professional		$381.00	$381.00	$5,125.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $1,480.64 / $2,220.96	Professional		$110.48	$1,480.64	$2,220.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,243.00 / $10,979.00	Facility		$2,212.00	$4,243.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.56 / $1,863.36 / $5,245.68	Professional		$1,245.56	$1,863.36	$5,245.68