Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,786.30 / $12,589.25	Facility		$1,000.00	$4,786.30	$12,589.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,023.29 / $9,120.11 / $9,120.11	Facility	50	$1,023.29	$9,120.11	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $588.84	Professional		$69.18	$154.88	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $239.88	Professional		$79.43	$158.49	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $354.81	Professional		$97.72	$165.96	$354.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,202.26 / $5,754.40	Facility		$66.07	$1,202.26	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $316.23	Professional		$87.10	$154.88	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Facility		$891.25	$891.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $309.03	Professional		$79.43	$147.91	$309.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $275.42	Professional		$70.79	$100.00	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $316.23	Professional		$75.86	$173.78	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $19,498.45 / $19,498.45	Facility		$3,981.07	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,445.44	Professional		$1,230.27	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $239.88	Professional		$144.54	$144.54	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $288.40	Facility		$89.13	$151.36	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $331.13	Professional		$79.43	$147.91	$331.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $416.87	Professional		$229.09	$229.09	$416.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $186.21	Professional		$70.79	$114.82	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $117.49 / $288.40	Professional		$63.10	$117.49	$288.40