Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $9,549.93 / $18,197.01	Facility		$3,467.37	$9,549.93	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $11,220.18 / $20,892.96	Facility	50	$645.65	$11,220.18	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $2,187.76	Professional		$524.81	$707.95	$2,187.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $977.24 / $5,248.07	Professional	50	$794.33	$977.24	$5,248.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	50	$794.33	$794.33	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,949.84	Professional		$630.96	$912.01	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $758.58 / $1,148.15 / $1,659.59	Professional	50	$758.58	$1,148.15	$1,659.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,981.07 / $12,022.64	Facility		$66.07	$3,981.07	$12,022.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,819.70	Professional		$489.78	$776.25	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $1,995.26	Facility		$707.95	$1,445.44	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,584.89	Professional		$562.34	$831.76	$1,584.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,288.25	Professional		$602.56	$831.76	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,445.44	Professional		$524.81	$794.33	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $33,884.42 / $33,884.42	Facility		$5,754.40	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,023.29	Professional		$616.60	$616.60	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,412.54	Facility		$630.96	$912.01	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,621.81	Professional		$562.34	$851.14	$1,621.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,454.71	Professional		$1,949.84	$1,949.84	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,148.15	Professional		$537.03	$851.14	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,585.78 / $15,135.61	Facility		$3,801.89	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,348.96	Professional		$489.78	$660.69	$1,348.96