Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,897.79 / $15,135.61	Facility		$1,288.25	$4,897.79	$15,135.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $4,265.80 / $8,317.64	Facility	50	$1,659.59	$4,265.80	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $870.96	Professional		$102.33	$204.17	$870.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $346.74 / $1,122.02	Professional	50	$162.18	$346.74	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $812.83	Professional		$89.13	$213.80	$812.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $162.18 / $269.15	Professional	50	$141.25	$162.18	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $389.05	Professional		$104.71	$181.97	$389.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $234.42 / $316.23	Professional	50	$147.91	$234.42	$316.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,348.96 / $5,623.41	Facility		$66.07	$1,348.96	$5,623.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $363.08	Professional		$102.33	$186.21	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $380.19	Professional		$117.49	$208.93	$380.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $354.81	Professional		$109.65	$162.18	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $407.38	Professional		$97.72	$208.93	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $30,199.52 / $30,199.52	Facility		$2,691.53	$30,199.52	$30,199.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $269.15	Professional		$162.18	$162.18	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $354.81	Facility		$112.20	$208.93	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $407.38	Professional		$117.49	$213.80	$407.38
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $630.96	Professional		$346.74	$346.74	$630.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $302.00	Professional		$97.72	$229.09	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $7,585.78	Facility		$1,479.11	$2,754.23	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $371.54	Professional		$91.20	$162.18	$371.54