Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $6,695.00 / $17,382.00	Facility		$656.00	$6,695.00	$17,382.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,909.95 / $9,468.83 / $39,081.00	Facility	50	$2,909.95	$9,468.83	$39,081.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.60 / $518.66 / $1,052.81	Professional		$391.60	$518.66	$1,052.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $210.69 / $731.34	Professional	50	$210.69	$210.69	$731.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.66 / $369.66 / $369.66	Professional		$369.66	$369.66	$369.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.08 / $701.55 / $1,308.88	Professional		$441.08	$701.55	$1,308.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $777.86 / $896.71 / $1,059.43	Professional	50	$777.86	$896.71	$1,059.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,497.06	Facility		$66.00	$100.00	$9,497.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $424.50 / $606.42 / $1,269.51	Professional		$424.50	$606.42	$1,269.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,458.73 / $1,988.34	Facility		$705.31	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.69 / $665.77 / $1,249.81	Professional		$458.69	$665.77	$1,249.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $653.44 / $1,034.41	Professional		$421.82	$653.44	$1,034.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.80 / $674.10 / $1,179.68	Professional		$438.80	$674.10	$1,179.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,112.56 / $3,196.56 / $26,542.00	Facility		$3,112.56	$3,196.56	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,005.00 / $4,457.92 / $5,124.60	Professional		$4,005.00	$4,457.92	$5,124.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $548.23 / $742.63 / $1,092.00	Facility		$548.23	$742.63	$1,092.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $468.13 / $705.11 / $1,360.72	Professional		$468.13	$705.11	$1,360.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,497.96 / $1,497.96 / $2,047.35	Professional		$1,497.96	$1,497.96	$2,047.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $477.40 / $632.72 / $851.76	Professional		$477.40	$632.72	$851.76
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 $467.42 / $612.50 / $1,540.01	Professional		$467.42	$612.50	$1,540.01