Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.17 / $6,588.00 / $17,701.00	Facility		$1,435.17	$6,588.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.99 / $1,731.58 / $3,116.33	Professional		$158.99	$1,731.58	$3,116.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,900.93 / $2,900.93 / $2,900.93	Professional		$2,900.93	$2,900.93	$2,900.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.15 / $2,890.50 / $6,301.08	Professional		$233.15	$2,890.50	$6,301.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $349.42 / $2,985.12 / $3,215.74	Professional	50	$349.42	$2,985.12	$3,215.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $699.77 / $3,854.50	Professional		$169.82	$699.77	$3,854.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,762.02 / $1,762.02 / $2,082.39	Facility		$1,762.02	$1,762.02	$2,082.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $1,447.86 / $4,478.76	Professional		$182.54	$1,447.86	$4,478.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $1,968.72 / $2,535.11	Professional		$182.51	$1,968.72	$2,535.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $1,169.47 / $2,852.00	Professional		$173.11	$1,169.47	$2,852.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,186.85 / $1,216.08	Facility		$55.00	$1,186.85	$1,216.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,895.90 / $11,282.72 / $13,386.90	Professional		$5,895.90	$11,282.72	$13,386.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.42 / $1,652.15 / $3,051.93	Facility		$190.42	$1,652.15	$3,051.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.42 / $680.95 / $4,518.85	Professional		$183.42	$680.95	$4,518.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $570.34 / $570.34 / $6,440.45	Professional		$570.34	$570.34	$6,440.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $1,968.72 / $2,953.08	Professional		$165.47	$1,968.72	$2,953.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,341.00 / $13,651.00 / $29,571.00	Facility		$6,341.00	$13,651.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,566.88 / $2,431.36 / $5,432.69	Professional		$1,566.88	$2,431.36	$5,432.69