Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $21,379.62	Facility		$4,168.69	$10,471.29	$21,379.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility	50	$12,589.25	$12,589.25	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $3,981.07	Professional		$758.58	$1,096.48	$3,981.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,659.59	Professional		$954.99	$954.99	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,884.03	Professional		$891.25	$1,288.25	$2,884.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,884.03 / $12,302.69	Facility		$66.07	$2,884.03	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,754.23	Professional		$812.83	$1,122.02	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,995.26	Facility		$794.33	$1,202.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,398.83	Professional		$812.83	$1,174.90	$2,398.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,096.48 / $1,479.11	Professional		$524.81	$1,096.48	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,137.96	Professional		$851.14	$1,122.02	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $42,657.95 / $42,657.95	Facility		$6,606.93	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,128.31 / $8,128.31	Professional		$7,079.46	$8,128.31	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,819.70	Facility		$933.25	$1,202.26	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,454.71	Professional		$851.14	$1,202.26	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,202.26	Professional		$676.08	$912.01	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,995.26	Professional		$707.95	$912.01	$1,995.26