Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,413.10 / $20,892.96	Facility		$1,949.84	$7,413.10	$20,892.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $263.03 / $17,782.79 / $17,782.79	Facility	50	$263.03	$17,782.79	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,258.93 / $5,128.61	Professional		$323.59	$1,258.93	$5,128.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $549.54 / $549.54 / $9,120.11	Professional	50	$549.54	$549.54	$9,120.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,258.93	Professional		$977.24	$1,096.48	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,348.96 / $5,011.87	Professional		$478.63	$1,348.96	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $2,089.30 / $3,890.45	Professional	50	$537.03	$2,089.30	$3,890.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $12,302.69	Facility		$66.07	$5,128.61	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,258.93 / $3,548.13	Professional		$338.84	$1,258.93	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,398.83	Facility		$1,995.26	$1,995.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,174.90 / $3,388.44	Professional		$323.59	$1,174.90	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,659.59 / $2,344.23	Professional		$257.04	$1,659.59	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $794.33 / $1,995.26	Professional		$239.88	$794.33	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $50,118.72 / $50,118.72	Facility		$8,912.51	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,589.25	Professional		$12,302.69	$12,302.69	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,445.44	Professional		$870.96	$870.96	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,230.27 / $2,754.23	Facility		$295.12	$1,230.27	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,380.38 / $3,388.44	Professional		$323.59	$1,380.38	$3,388.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $4,570.88	Professional		$891.25	$891.25	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $2,511.89 / $3,801.89	Professional		$234.42	$2,511.89	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,096.48 / $3,090.30	Professional		$275.42	$1,096.48	$3,090.30