Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.40 / $5,087.10 / $16,196.79	Facility		$572.40	$5,087.10	$16,196.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,530.46 / $6,184.50 / $13,877.70	Facility	50	$2,530.46	$6,184.50	$13,877.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $554.48 / $1,352.80	Professional		$408.01	$554.48	$1,352.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.90 / $1,007.55 / $1,104.56	Professional	50	$481.90	$1,007.55	$1,104.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.46 / $454.46 / $454.46	Professional		$454.46	$454.46	$454.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.78 / $687.04 / $1,299.23	Professional		$431.78	$687.04	$1,299.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $698.20 / $845.68 / $1,011.65	Professional	50	$698.20	$845.68	$1,011.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $417.76 / $596.79 / $1,266.20	Professional		$417.76	$596.79	$1,266.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,458.73 / $1,988.34	Facility		$499.60	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.34 / $646.15 / $1,248.91	Professional		$454.34	$646.15	$1,248.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $428.52 / $661.27 / $966.38	Professional		$428.52	$661.27	$966.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.16 / $641.55 / $1,129.00	Professional		$444.16	$641.55	$1,129.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,150.72 / $3,237.72 / $16,394.00	Facility		$3,150.72	$3,237.72	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,805.00 / $4,805.00 / $4,822.88	Professional		$4,805.00	$4,805.00	$4,822.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.60 / $706.96 / $1,043.06	Facility		$540.60	$706.96	$1,043.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $463.83 / $690.27 / $1,364.48	Professional		$463.83	$690.27	$1,364.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,516.43 / $1,516.43 / $1,916.75	Professional		$1,516.43	$1,516.43	$1,916.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $483.16 / $618.45 / $810.59	Professional		$483.16	$618.45	$810.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.38 / $591.01 / $1,283.88	Professional		$456.38	$591.01	$1,283.88