Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.50 / $5,856.00 / $17,538.00	Facility		$1,114.50	$5,856.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.46 / $835.10 / $1,431.01	Professional		$197.46	$835.10	$1,431.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.93 / $364.32 / $374.32	Professional		$345.93	$364.32	$374.32
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 $281.43 / $665.09 / $2,094.92	Professional		$281.43	$665.09	$2,094.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,230.50	Facility		$67.90	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $801.22 / $2,051.71	Professional		$225.59	$801.22	$2,051.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $1,091.68 / $3,039.51	Facility		$495.00	$1,091.68	$3,039.51
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.86 / $673.14 / $2,028.45	Professional		$228.86	$673.14	$2,028.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $220.55 / $920.70 / $1,272.16	Professional		$220.55	$920.70	$1,272.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.71 / $748.98 / $1,456.35	Professional		$199.71	$748.98	$1,456.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,465.89 / $1,465.89	Facility		$55.00	$1,465.89	$1,465.89
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $727.83 / $782.61 / $782.61	Facility	52	$727.83	$782.61	$782.61
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $181.96 / $195.65 / $195.65	Facility	53	$181.96	$195.65	$195.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,976.58 / $6,044.48 / $6,714.23	Professional		$2,976.58	$6,044.48	$6,714.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $668.89	Professional		$32.34	$32.34	$668.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.72 / $770.78 / $1,510.45	Facility		$214.72	$770.78	$1,510.45
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.84 / $674.06 / $2,077.54	Professional		$236.84	$674.06	$2,077.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $672.60 / $672.60 / $3,163.46	Professional		$672.60	$672.60	$3,163.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $200.33 / $920.70 / $1,288.98	Professional		$200.33	$920.70	$1,288.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,433.90 / $3,964.00 / $9,131.00	Facility		$1,433.90	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.20 / $1,119.30 / $2,435.71	Professional		$746.20	$1,119.30	$2,435.71