Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,640.00 / $17,380.00	Facility		$2,387.00	$6,640.00	$17,380.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $30,154.50 / $30,154.50 / $30,154.50	Facility	50	$30,154.50	$30,154.50	$30,154.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.22 / $936.11 / $3,022.54	Professional		$738.22	$936.11	$3,022.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $6,841.86	Professional	50	$1,241.33	$1,241.33	$6,841.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,000.71 / $1,000.71 / $1,000.71	Professional		$1,000.71	$1,000.71	$1,000.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $14,981.00	Facility		$2,275.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.55 / $1,245.95 / $2,409.61	Professional		$859.55	$1,245.95	$2,409.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,343.77 / $1,511.74 / $2,025.06	Professional	50	$1,343.77	$1,511.74	$2,025.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,190.83	Facility		$66.00	$100.00	$8,190.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $658.53 / $951.53 / $2,187.78	Professional		$658.53	$951.53	$2,187.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $2,256.40 / $3,075.60	Facility		$571.29	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $1,147.48 / $2,646.19	Professional		$841.50	$1,147.48	$2,646.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,253.68 / $1,692.47	Professional		$505.96	$1,253.68	$1,692.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $972.39 / $1,294.49 / $2,441.36	Professional		$972.39	$1,294.49	$2,441.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,580.18 / $11,500.00 / $26,542.00	Facility		$5,580.18	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,410.64 / $7,723.36 / $8,466.23	Professional		$7,410.64	$7,723.36	$8,466.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,319.39 / $1,831.02	Facility		$1,050.00	$1,319.39	$1,831.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $874.79 / $1,258.69 / $2,755.70	Professional		$874.79	$1,258.69	$2,755.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,246.98 / $3,246.98 / $3,246.98	Professional		$3,246.98	$3,246.98	$3,246.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $910.72 / $1,393.55	Professional		$638.04	$910.72	$1,393.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,699.00 / $20,988.00	Facility		$4,331.00	$9,699.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.06 / $973.47 / $2,218.98	Professional		$751.06	$973.47	$2,218.98