Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $5,980.00 / $18,770.00	Facility		$1,080.00	$5,980.00	$18,770.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,166.38 / $7,166.38 / $7,166.38	Facility	50	$7,166.38	$7,166.38	$7,166.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.09 / $515.29 / $1,937.37	Professional		$385.09	$515.29	$1,937.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.47 / $398.47 / $398.47	Professional		$398.47	$398.47	$398.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.23 / $682.47 / $1,435.17	Professional		$485.23	$682.47	$1,435.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,721.71	Facility		$66.70	$100.00	$7,721.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $359.53 / $513.61 / $1,243.54	Professional		$359.53	$513.61	$1,243.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $2,296.29 / $5,409.85	Facility		$1,943.01	$2,296.29	$5,409.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.62 / $598.77 / $1,300.60	Professional		$426.62	$598.77	$1,300.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $514.95 / $800.72	Professional		$144.44	$514.95	$800.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.69 / $589.08 / $1,045.00	Professional		$421.69	$589.08	$1,045.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,335.50 / $3,412.57 / $16,394.00	Facility		$3,335.50	$3,412.57	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,301.00 / $3,777.68 / $4,476.14	Professional		$3,301.00	$3,777.68	$4,476.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.95 / $561.77 / $834.86	Facility		$407.95	$561.77	$834.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.15 / $618.60 / $1,295.38	Professional		$434.15	$618.60	$1,295.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,350.15 / $1,350.15 / $1,712.00	Professional		$1,350.15	$1,350.15	$1,712.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $182.17 / $327.90 / $683.74	Professional		$182.17	$327.90	$683.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $15,471.00	Facility		$3,459.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.92 / $596.08 / $1,783.56	Professional		$403.92	$596.08	$1,783.56