Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.50 / $5,540.28 / $13,782.00	Facility		$1,324.50	$5,540.28	$13,782.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $677.50 / $6,488.50 / $15,370.64	Facility	50	$677.50	$6,488.50	$15,370.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $436.18 / $1,500.97	Professional		$225.10	$436.18	$1,500.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $422.29 / $718.12	Professional		$219.05	$422.29	$718.12
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 $480.53 / $629.80 / $1,234.93	Professional		$480.53	$629.80	$1,234.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $441.47 / $1,076.46	Professional		$284.58	$441.47	$1,076.46
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 $406.04 / $550.41 / $1,474.17	Professional		$406.04	$550.41	$1,474.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $497.49 / $671.61	Professional		$147.80	$497.49	$671.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.15 / $572.11 / $1,015.37	Professional		$446.15	$572.11	$1,015.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,484.23 / $8,723.79 / $16,394.00	Facility		$2,484.23	$8,723.79	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,301.00 / $3,301.00 / $3,830.40	Professional		$3,301.00	$3,301.00	$3,830.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $430.97 / $537.66 / $795.98	Facility		$430.97	$537.66	$795.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.42 / $564.79 / $1,236.59	Professional		$405.42	$564.79	$1,236.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,410.05 / $1,410.05 / $1,410.05	Professional		$1,410.05	$1,410.05	$1,410.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.80 / $260.95 / $551.65	Professional		$147.80	$260.95	$551.65
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 $342.47 / $508.00 / $1,419.43	Professional		$342.47	$508.00	$1,419.43