Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.76 / $5,962.75 / $16,210.00	Facility		$1,066.76	$5,962.75	$16,210.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,505.00 / $4,065.00 / $19,484.00	Facility	50	$3,505.00	$4,065.00	$19,484.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.77 / $469.54 / $2,981.38	Facility	52	$117.77	$469.54	$2,981.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.11 / $187.81 / $1,192.55	Facility	53	$47.11	$187.81	$1,192.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.33 / $845.00 / $1,568.88	Professional		$229.33	$845.00	$1,568.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $981.28 / $981.28 / $981.28	Professional		$981.28	$981.28	$981.28
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 $385.26 / $1,580.17 / $3,106.62	Professional		$385.26	$1,580.17	$3,106.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,485.17	Facility		$66.00	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $230.70 / $640.60 / $1,664.37	Professional		$230.70	$640.60	$1,664.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.56 / $824.73 / $2,237.09	Professional		$228.56	$824.73	$2,237.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $220.43 / $773.64 / $1,370.51	Professional		$220.43	$773.64	$1,370.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.23 / $724.23 / $1,668.47	Professional		$201.23	$724.23	$1,668.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,601.53 / $1,634.36	Facility		$55.00	$1,601.53	$1,634.36
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $414.00 / $782.54 / $782.54	Facility	52	$414.00	$782.54	$782.54
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $103.50 / $195.63 / $195.63	Facility	53	$103.50	$195.63	$195.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,242.87 / $6,260.24 / $7,329.60	Professional		$3,242.87	$6,260.24	$7,329.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.43 / $816.25 / $1,448.46	Facility		$234.43	$816.25	$1,448.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.32 / $824.73 / $2,256.21	Professional		$235.32	$824.73	$2,256.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.97 / $676.97 / $3,001.93	Professional		$676.97	$676.97	$3,001.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $201.83 / $923.64 / $1,270.01	Professional		$201.83	$923.64	$1,270.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $16,148.00	Facility		$3,523.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.90 / $1,115.83 / $3,045.26	Professional		$720.90	$1,115.83	$3,045.26