Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.29 / $4,848.00 / $15,192.68	Facility		$642.29	$4,848.00	$15,192.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,552.50 / $7,780.37 / $10,198.50	Facility	50	$4,552.50	$7,780.37	$10,198.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.93 / $450.88 / $1,837.30	Professional		$361.93	$450.88	$1,837.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.57 / $619.71 / $2,544.62	Professional	50	$206.57	$619.71	$2,544.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.48 / $471.53 / $2,289.30	Professional		$363.48	$471.53	$2,289.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $545.22 / $545.22 / $548.05	Professional	50	$545.22	$545.22	$548.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.12 / $684.31 / $1,278.45	Professional		$541.12	$684.31	$1,278.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $544.37 / $699.52 / $882.82	Professional	50	$544.37	$699.52	$882.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $6,651.83	Facility		$66.90	$100.00	$6,651.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $318.44 / $466.25 / $1,136.58	Professional		$318.44	$466.25	$1,136.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.42 / $1,819.64 / $3,253.30	Facility		$1,816.42	$1,819.64	$3,253.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.78 / $532.29 / $1,121.36	Professional		$415.78	$532.29	$1,121.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $545.34 / $736.21	Professional		$316.83	$545.34	$736.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.46 / $590.74 / $1,055.89	Professional		$434.46	$590.74	$1,055.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,079.40 / $2,282.04 / $16,394.00	Facility		$2,079.40	$2,282.04	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,829.00 / $4,131.06 / $4,131.06	Professional		$3,829.00	$4,131.06	$4,131.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.35 / $581.32 / $804.71	Facility		$459.35	$581.32	$804.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.06 / $564.60 / $1,163.40	Professional		$423.06	$564.60	$1,163.40
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,156.00 / $3,156.00 / $3,156.00	Facility		$3,156.00	$3,156.00	$3,156.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,408.80 / $1,408.80 / $1,429.24	Professional		$1,408.80	$1,408.80	$1,429.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $431.85 / $495.44 / $605.54	Professional		$431.85	$495.44	$605.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $14,743.00	Facility		$3,190.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.58 / $451.27 / $986.90	Professional		$338.58	$451.27	$986.90