Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.05 / $6,880.00 / $19,860.00	Facility		$1,693.05	$6,880.00	$19,860.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,639.88 / $11,639.88 / $15,094.37	Facility	50	$11,639.88	$11,639.88	$15,094.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $1,648.85 / $7,580.10	Professional		$296.93	$1,648.85	$7,580.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $502.36 / $2,253.28 / $7,746.45	Professional	50	$502.36	$2,253.28	$7,746.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $470.58 / $470.58 / $470.58	Professional		$470.58	$470.58	$470.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $9,311.00 / $20,554.00	Facility		$3,445.00	$9,311.00	$20,554.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.14 / $5,820.72 / $11,644.18	Professional		$416.14	$5,820.72	$11,644.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $593.71 / $5,291.05 / $6,608.33	Professional	50	$593.71	$5,291.05	$6,608.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,095.58	Facility		$66.00	$100.00	$12,095.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $1,218.33 / $7,162.85	Professional		$301.04	$1,218.33	$7,162.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,972.21 / $8,972.21 / $10,603.54	Facility		$8,972.21	$8,972.21	$10,603.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.45 / $3,313.87 / $8,037.23	Professional		$325.45	$3,313.87	$8,037.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.13 / $372.40 / $5,871.84	Professional		$275.13	$372.40	$5,871.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.38 / $2,392.42 / $5,873.12	Professional		$294.38	$2,392.42	$5,873.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,433.90 / $5,926.73	Facility		$55.00	$5,433.90	$5,926.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,145.05 / $23,247.31 / $27,425.03	Professional		$12,145.05	$23,247.31	$27,425.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.82 / $3,392.92 / $6,306.79	Facility		$323.82	$3,392.92	$6,306.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.43 / $1,263.51 / $8,466.21	Professional		$331.43	$1,263.51	$8,466.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $977.22 / $977.22 / $10,768.74	Professional		$977.22	$977.22	$10,768.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $275.13 / $357.67 / $4,837.09	Professional		$275.13	$357.67	$4,837.09
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $45,545.00	Facility		$8,830.00	$18,315.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,709.88 / $4,351.68 / $9,948.10	Professional		$2,709.88	$4,351.68	$9,948.10