Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,029.00 / $19,331.00	Facility		$2,616.00	$9,029.00	$19,331.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,458.49 / $12,458.49 / $12,458.49	Facility	50	$12,458.49	$12,458.49	$12,458.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.84 / $825.17 / $3,987.03	Professional		$702.84	$825.17	$3,987.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $921.22 / $921.22 / $921.22	Professional		$921.22	$921.22	$921.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,282.00 / $8,774.00 / $18,030.00	Facility		$2,282.00	$8,774.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.83 / $1,188.79 / $2,234.40	Professional		$790.83	$1,188.79	$2,234.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,002.37	Facility		$66.00	$100.00	$11,002.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $639.49 / $923.83 / $2,119.62	Professional		$639.49	$923.83	$2,119.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.88 / $1,458.73 / $1,988.34	Facility		$802.88	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.78 / $1,101.00 / $2,480.67	Professional		$808.78	$1,101.00	$2,480.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $530.53 / $1,196.64 / $1,555.63	Professional		$530.53	$1,196.64	$1,555.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.47 / $1,232.81 / $2,326.79	Professional		$926.47	$1,232.81	$2,326.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,309.58 / $6,959.10 / $26,542.00	Facility		$5,309.58	$6,959.10	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,043.92 / $7,361.84 / $8,064.83	Professional		$7,043.92	$7,361.84	$8,064.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,002.63 / $1,269.16 / $1,914.62	Facility		$1,002.63	$1,269.16	$1,914.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $817.45 / $1,213.17 / $2,639.39	Professional		$817.45	$1,213.17	$2,639.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,042.14 / $3,042.14 / $3,042.14	Professional		$3,042.14	$3,042.14	$3,042.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $669.04 / $954.95 / $1,330.15	Professional		$669.04	$954.95	$1,330.15
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 $700.28 / $899.91 / $2,185.88	Professional		$700.28	$899.91	$2,185.88