Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.61 / $5,980.00 / $17,701.00	Facility		$1,177.61	$5,980.00	$17,701.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.72 / $151.22 / $2,175.79	Facility	52	$126.72	$151.22	$2,175.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.47 / $302.44 / $1,146.88	Professional		$206.47	$302.44	$1,146.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $107.46 / $339.22	Professional		$107.46	$107.46	$339.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.68 / $524.76 / $1,145.33	Professional		$332.68	$524.76	$1,145.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,539.15	Facility		$67.90	$100.00	$6,539.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.69 / $437.22 / $879.60	Professional		$223.69	$437.22	$879.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $1,091.68 / $3,039.51	Facility		$455.00	$1,091.68	$3,039.51
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.50 / $418.43 / $1,416.24	Professional		$235.50	$418.43	$1,416.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $298.13 / $1,055.33	Professional		$220.84	$298.13	$1,055.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $562.82 / $1,097.39	Professional		$197.83	$562.82	$1,097.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.50 / $1,384.26 / $16,394.00	Facility		$1,351.50	$1,384.26	$16,394.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $718.14 / $777.78 / $777.78	Facility	52	$718.14	$777.78	$777.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,271.42 / $4,354.72 / $5,096.78	Professional		$2,271.42	$4,354.72	$5,096.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $512.69	Professional		$32.34	$32.34	$512.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.17 / $420.62 / $987.64	Facility		$231.17	$420.62	$987.64
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.92 / $495.17 / $1,582.98	Professional		$245.92	$495.17	$1,582.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $656.52 / $656.52 / $2,207.29	Professional		$656.52	$656.52	$2,207.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $200.60 / $374.12 / $869.12	Professional		$200.60	$374.12	$869.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,761.00 / $3,965.00 / $12,135.00	Facility		$1,761.00	$3,965.00	$12,135.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.24 / $628.34 / $1,665.82	Professional		$284.24	$628.34	$1,665.82