Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,550.00 / $18,956.00	Facility		$2,197.85	$7,550.00	$18,956.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.71 / $7,930.50 / $12,368.83	Facility	50	$0.71	$7,930.50	$12,368.83
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $168.99 / $175.85 / $871.18	Facility	52	$168.99	$175.85	$871.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.59 / $70.34 / $348.47	Facility	53	$67.59	$70.34	$348.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.07 / $373.88 / $1,425.00	Professional		$309.07	$373.88	$1,425.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $488.92 / $488.92	Professional		$488.92	$488.92	$488.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.67 / $470.54 / $906.03	Professional		$324.67	$470.54	$906.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,578.84	Facility		$66.70	$100.00	$8,578.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $221.49 / $333.56 / $825.22	Professional		$221.49	$333.56	$825.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $398.45 / $1,201.46	Professional		$306.20	$398.45	$1,201.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $260.61 / $328.71 / $492.98	Professional		$260.61	$328.71	$492.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $384.20 / $689.49	Professional		$295.83	$384.20	$689.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,103.52 / $9,388.90 / $26,542.00	Facility		$1,103.52	$9,388.90	$26,542.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $613.42 / $7,119.48 / $7,119.48	Facility	52	$613.42	$7,119.48	$7,119.48
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $153.36 / $1,779.87 / $1,779.87	Facility	53	$153.36	$1,779.87	$1,779.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,853.12 / $2,853.12 / $2,853.12	Professional		$2,853.12	$2,853.12	$2,853.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $418.01 / $712.18	Facility		$324.58	$418.01	$712.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $398.45 / $849.38	Professional		$306.20	$398.45	$849.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $982.67 / $982.67 / $982.67	Professional		$982.67	$982.67	$982.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $260.61 / $364.84 / $492.98	Professional		$260.61	$364.84	$492.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.88 / $368.85 / $938.43	Professional		$243.88	$368.85	$938.43