Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $6,588.00 / $17,393.00	Facility		$1,250.00	$6,588.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.22 / $1,250.00 / $2,291.63	Professional		$318.22	$1,250.00	$2,291.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $781.49 / $843.60 / $985.54	Professional		$781.49	$843.60	$985.54
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 $508.61 / $1,281.70 / $3,525.39	Professional		$508.61	$1,281.70	$3,525.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $541.16 / $1,640.01 / $1,896.48	Professional	50	$541.16	$1,640.01	$1,896.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,117.03	Facility		$66.00	$100.00	$11,117.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $380.17 / $1,184.84 / $2,652.71	Professional		$380.17	$1,184.84	$2,652.71
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 $315.06 / $1,155.81 / $3,200.32	Professional		$315.06	$1,155.81	$3,200.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $1,445.24 / $2,307.59	Professional		$285.00	$1,445.24	$2,307.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.70 / $763.27 / $1,628.73	Professional		$268.70	$763.27	$1,628.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,839.72 / $1,885.08 / $26,542.00	Facility		$1,839.72	$1,885.08	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,157.00 / $11,167.89 / $11,536.43	Professional		$9,157.00	$11,167.89	$11,536.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.22 / $1,046.02 / $2,413.19	Facility		$318.22	$1,046.02	$2,413.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.29 / $1,185.78 / $3,200.32	Professional		$323.29	$1,185.78	$3,200.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $886.24 / $886.24 / $3,555.02	Professional		$886.24	$886.24	$3,555.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $1,829.85 / $3,461.39	Professional		$265.02	$1,829.85	$3,461.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.14 / $1,492.65 / $3,278.27	Professional		$894.14	$1,492.65	$3,278.27