Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,495.41 / $15,848.93	Facility		$1,202.26	$5,495.41	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,344.23 / $5,128.61 / $16,982.44	Facility	50	$2,344.23	$5,128.61	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $512.86 / $2,137.96	Professional		$102.33	$512.86	$2,137.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $1,584.89 / $4,466.84	Professional	50	$144.54	$1,584.89	$4,466.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $933.25 / $1,862.09	Professional		$186.21	$933.25	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $724.44 / $1,202.26	Professional	50	$173.78	$724.44	$1,202.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,202.26 / $5,888.44	Facility		$66.07	$1,202.26	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $407.38 / $1,096.48	Professional		$112.20	$407.38	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $389.05 / $1,148.15	Professional		$112.20	$389.05	$1,148.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $436.52 / $954.99	Professional		$97.72	$436.52	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $478.63 / $1,096.48	Professional		$89.13	$478.63	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,495.41	Facility		$54.95	$56.23	$5,495.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $4,786.30	Professional		$4,073.80	$4,786.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $794.33	Professional		$478.63	$478.63	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $501.19 / $1,023.29	Facility		$104.71	$501.19	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $363.08 / $1,258.93	Professional		$112.20	$363.08	$1,258.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $1,905.46	Professional		$331.13	$331.13	$1,905.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $602.56 / $776.25	Professional		$89.13	$602.56	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $7,943.28	Facility		$1,479.11	$2,951.21	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $407.38 / $1,071.52	Professional		$95.50	$407.38	$1,071.52