Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.52 / $5,980.00 / $17,030.00	Facility		$1,256.52	$5,980.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $1,555.26 / $2,794.37	Professional		$142.43	$1,555.26	$2,794.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $321.08 / $11,247.38 / $11,584.86	Professional	50	$321.08	$11,247.38	$11,584.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,210.82 / $1,210.82 / $1,210.82	Professional		$1,210.82	$1,210.82	$1,210.82
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 $208.57 / $2,431.84 / $4,860.33	Professional		$208.57	$2,431.84	$4,860.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $295.45 / $2,360.23 / $2,633.57	Professional	50	$295.45	$2,360.23	$2,633.57
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 $145.66 / $600.29 / $3,022.94	Professional		$145.66	$600.29	$3,022.94
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 $156.66 / $1,255.43 / $3,511.61	Professional		$156.66	$1,255.43	$3,511.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $1,543.56 / $2,053.28	Professional		$154.15	$1,543.56	$2,053.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $947.80 / $2,380.46	Professional		$146.47	$947.80	$2,380.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $676.68 / $703.52	Facility		$55.00	$676.68	$703.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,827.16 / $9,721.28 / $10,857.23	Professional		$4,827.16	$9,721.28	$10,857.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.12 / $1,239.41 / $2,409.88	Facility		$161.12	$1,239.41	$2,409.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $975.28 / $3,546.77	Professional		$157.33	$975.28	$3,546.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $491.67 / $491.67 / $5,683.76	Professional		$491.67	$491.67	$5,683.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.75 / $1,543.56 / $2,315.33	Professional		$139.75	$1,543.56	$2,315.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,154.00 / $11,982.00	Facility		$2,212.00	$4,154.00	$11,982.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.21 / $1,953.65 / $4,377.35	Professional		$1,334.21	$1,953.65	$4,377.35