Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,025.60 / $16,595.87	Facility		$1,380.38	$6,025.60	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,071.52 / $4,677.35 / $6,025.60	Facility	50	$1,071.52	$4,677.35	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $1,122.02	Professional		$234.42	$323.59	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $588.84 / $1,995.26	Professional	50	$416.87	$588.84	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $288.40	Professional		$162.18	$208.93	$288.40
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 $288.40 / $489.78 / $891.25	Professional		$288.40	$489.78	$891.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $389.05 / $645.65	Professional	50	$331.13	$389.05	$645.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $741.31 / $5,754.40	Facility		$66.07	$741.31	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $912.01	Professional		$295.12	$416.87	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $549.54	Facility		$186.21	$251.19	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $588.84	Professional		$245.47	$346.74	$588.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $389.05	Professional		$204.17	$257.04	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $478.63	Professional		$177.83	$257.04	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	54	$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $338.84	Professional		$204.17	$204.17	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $363.08 / $616.60	Facility		$218.78	$363.08	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $616.60	Professional		$251.19	$354.81	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $812.83	Professional		$676.08	$676.08	$812.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $407.38	Professional		$181.97	$281.84	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $7,585.78	Facility		$1,348.96	$2,818.38	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $524.81	Professional		$181.97	$263.03	$524.81