Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,801.89 / $13,182.57	Facility		$707.95	$3,801.89	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $4,365.16 / $8,912.51	Facility	50	$1,819.70	$4,365.16	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $794.33	Professional		$87.10	$190.55	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $295.12 / $1,023.29	Professional	50	$125.89	$295.12	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $173.78	Professional		$38.90	$77.62	$173.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $234.42 / $295.12	Professional	50	$109.65	$234.42	$295.12
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 $85.11 / $154.88 / $346.74	Professional		$85.11	$154.88	$346.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $208.93 / $275.42	Professional	50	$125.89	$208.93	$275.42
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 $89.13 / $165.96 / $323.59	Professional		$89.13	$165.96	$323.59
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 $100.00 / $186.21 / $346.74	Professional		$100.00	$186.21	$346.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $338.84	Professional		$95.50	$144.54	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $380.19	Professional		$85.11	$194.98	$380.19
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 $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $245.47	Professional		$147.91	$147.91	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.97 / $331.13	Facility		$95.50	$181.97	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $371.54	Professional		$100.00	$190.55	$371.54
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 $295.12 / $295.12 / $575.44	Professional		$295.12	$295.12	$575.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $275.42	Professional		$85.11	$213.80	$275.42
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 $75.86 / $147.91 / $331.13	Professional		$75.86	$147.91	$331.13