Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $6,880.00 / $20,646.97	Facility		$1,250.00	$6,880.00	$20,646.97
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $261.00 / $261.00 / $17,776.50	Facility	50	$261.00	$261.00	$17,776.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.57 / $1,250.00 / $3,112.66	Professional		$326.57	$1,250.00	$3,112.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $9,062.40 / $9,062.40 / $9,062.40	Professional	50	$9,062.40	$9,062.40	$9,062.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $424.33 / $1,023.32 / $1,827.18	Professional		$424.33	$1,023.32	$1,827.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.32 / $1,384.74 / $4,174.80	Professional		$507.32	$1,384.74	$4,174.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $541.67 / $1,996.48 / $2,077.11	Professional	50	$541.67	$1,996.48	$2,077.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,441.20	Facility		$66.00	$100.00	$11,441.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $324.11 / $1,213.74 / $2,986.34	Professional		$324.11	$1,213.74	$2,986.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.08 / $1,378.21 / $3,833.76	Professional		$316.08	$1,378.21	$3,833.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $281.56 / $1,573.86 / $2,508.54	Professional		$281.56	$1,573.86	$2,508.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.47 / $754.25 / $1,771.85	Professional		$267.47	$754.25	$1,771.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,830.90 / $1,881.78 / $26,542.00	Facility		$1,830.90	$1,881.78	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,157.00 / $12,119.05 / $12,518.98	Professional		$9,157.00	$12,119.05	$12,518.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.07 / $1,137.02 / $2,757.64	Facility		$316.07	$1,137.02	$2,757.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $1,417.99 / $3,833.76	Professional		$323.39	$1,417.99	$3,833.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $886.52 / $886.52 / $4,593.95	Professional		$886.52	$886.52	$4,593.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $1,989.20 / $3,762.81	Professional		$262.70	$1,989.20	$3,762.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,213.00 / $9,604.00 / $20,495.00	Facility		$5,213.00	$9,604.00	$20,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,128.98 / $1,868.64 / $4,195.89	Professional		$1,128.98	$1,868.64	$4,195.89