Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,943.30 / $7,704.84 / $17,704.00	Facility		$1,943.30	$7,704.84	$17,704.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.95 / $246.18 / $1,415.65	Facility	53	$67.95	$246.18	$1,415.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.66 / $1,019.02 / $2,784.56	Professional		$324.66	$1,019.02	$2,784.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.26 / $291.69 / $368.38	Professional		$269.26	$291.69	$368.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,707.00	Facility		$2,143.00	$5,944.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.53 / $1,608.62 / $3,231.85	Professional		$503.53	$1,608.62	$3,231.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $11,939.24	Facility		$66.09	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $353.20 / $949.72 / $2,110.86	Professional		$353.20	$949.72	$2,110.86
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 $353.34 / $962.56 / $2,263.56	Professional		$353.34	$962.56	$2,263.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $259.87 / $432.82 / $1,601.03	Professional		$259.87	$432.82	$1,601.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.11 / $858.25 / $1,577.41	Professional		$327.11	$858.25	$1,577.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,858.50 / $1,904.90 / $26,542.00	Facility		$1,858.50	$1,904.90	$26,542.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $165.83 / $319.74 / $319.74	Facility	53	$165.83	$319.74	$319.74
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $82.92 / $159.87 / $159.87	Facility	AS	$82.92	$159.87	$159.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,494.00 / $7,664.36 / $7,917.29	Professional		$5,494.00	$7,664.36	$7,917.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.68 / $952.91 / $2,006.98	Facility		$380.68	$952.91	$2,006.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.79 / $955.83 / $2,392.61	Professional		$358.79	$955.83	$2,392.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,090.19 / $1,090.19 / $3,599.08	Professional		$1,090.19	$1,090.19	$3,599.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $259.87 / $400.18 / $1,318.22	Professional		$259.87	$400.18	$1,318.22
United Facility/Professional Facility Modifier Low / Median / High Price $5,213.00 / $9,606.00 / $21,278.00	Facility		$5,213.00	$9,606.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.31 / $1,321.68 / $3,114.05	Professional		$905.31	$1,321.68	$3,114.05