Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $5,310.00 / $14,481.02	Facility		$873.00	$5,310.00	$14,481.02
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,097.50 / $3,097.50 / $3,729.00	Facility	50	$3,097.50	$3,097.50	$3,729.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $572.12 / $1,450.02	Professional		$145.58	$572.12	$1,450.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.82 / $898.37 / $898.37	Professional		$201.82	$898.37	$898.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $406.75 / $1,035.09	Professional		$170.81	$406.75	$1,035.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,591.57	Facility		$66.70	$100.00	$5,591.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $334.54 / $544.41 / $1,327.11	Professional		$334.54	$544.41	$1,327.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.77 / $1,057.45 / $2,491.26	Facility		$894.77	$1,057.45	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $352.34 / $1,254.79	Professional		$143.81	$352.34	$1,254.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $152.83 / $842.95	Professional		$70.73	$152.83	$842.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.02 / $416.82 / $917.69	Professional		$126.02	$416.82	$917.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $997.22 / $1,020.11 / $12,000.00	Facility		$997.22	$1,020.11	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.64 / $3,562.64 / $4,166.85	Professional		$1,844.64	$3,562.64	$4,166.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $242.80 / $850.25	Facility		$146.62	$242.80	$850.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $348.30 / $1,338.38	Professional		$146.19	$348.30	$1,338.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $420.63 / $420.63 / $1,835.56	Professional		$420.63	$420.63	$1,835.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $127.33 / $721.04	Professional		$89.21	$127.33	$721.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.67 / $628.48 / $1,943.32	Professional		$239.67	$628.48	$1,943.32