Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.78 / $4,331.00 / $15,795.00	Facility		$1,021.78	$4,331.00	$15,795.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,028.88 / $12,254.87 / $16,570.06	Facility	50	$4,028.88	$12,254.87	$16,570.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.51 / $986.81 / $1,849.22	Professional		$413.51	$986.81	$1,849.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,234.61 / $5,283.22 / $9,523.17	Professional	50	$1,234.61	$5,283.22	$9,523.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.33 / $322.32 / $568.89	Professional		$268.33	$322.32	$568.89
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $446.61 / $446.61 / $791.91	Professional	50	$446.61	$446.61	$791.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.29 / $1,231.02 / $2,092.09	Professional		$502.29	$1,231.02	$2,092.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $452.35 / $538.96 / $1,244.71	Professional	50	$452.35	$538.96	$1,244.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $709.87 / $1,014.10 / $2,056.44	Professional		$709.87	$1,014.10	$2,056.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.13 / $334.12 / $555.00	Facility		$245.13	$334.12	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.94 / $894.36 / $1,384.87	Professional		$355.94	$894.36	$1,384.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $300.07 / $404.18 / $525.42	Professional		$300.07	$404.18	$525.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $394.56 / $776.24	Professional		$288.27	$394.56	$776.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,405.90 / $2,470.44	Facility		$55.00	$2,405.90	$2,470.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,000.04 / $4,892.37 / $5,324.36	Professional		$4,000.04	$4,892.37	$5,324.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.13 / $589.08 / $1,386.26	Facility		$361.13	$589.08	$1,386.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.18 / $859.96 / $1,338.40	Professional		$364.18	$859.96	$1,338.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $998.85 / $998.85 / $1,122.67	Professional		$998.85	$998.85	$1,122.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $313.83 / $394.56 / $567.63	Professional		$313.83	$394.56	$567.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,699.00 / $7,655.00	Facility		$1,046.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $440.87 / $1,325.39	Professional		$270.76	$440.87	$1,325.39