Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,912.51 / $20,417.38	Facility		$3,311.31	$8,912.51	$20,417.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,888.44 / $10,000.00 / $26,302.68	Facility	50	$5,888.44	$10,000.00	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $2,344.23	Professional		$467.74	$794.33	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $562.34 / $1,202.26	Professional		$245.47	$562.34	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,230.27	Professional		$512.86	$660.69	$1,230.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $10,715.19	Facility		$66.07	$4,786.30	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,412.54	Professional		$489.78	$724.44	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,995.26 / $5,011.87	Facility		$660.69	$1,995.26	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,202.26	Professional		$436.52	$645.65	$1,202.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $758.58	Professional		$346.74	$562.34	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,148.15	Professional		$467.74	$575.44	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $75.86 / $95.50 / $501.19	Professional	80	$75.86	$95.50	$501.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $75.86 / $75.86 / $95.50	Professional	AS	$75.86	$75.86	$95.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $33,884.42	Facility		$9,549.93	$9,549.93	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AS	$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,570.88 / $4,570.88	Professional		$4,168.69	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $1,096.48	Facility		$501.19	$676.08	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $1,318.26	Professional		$416.87	$645.65	$1,318.26
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $741.31	Professional		$436.52	$512.86	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $20,417.38	Facility		$4,265.80	$9,332.54	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,047.13	Professional		$416.87	$549.54	$1,047.13