Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.10 / $6,695.00 / $17,538.00	Facility		$708.10	$6,695.00	$17,538.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,478.22 / $6,362.25 / $6,362.25	Facility	50	$4,478.22	$6,362.25	$6,362.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.76 / $641.90 / $1,395.14	Professional		$441.76	$641.90	$1,395.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $2,018.04 / $2,092.69	Professional	50	$707.01	$2,018.04	$2,092.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.90 / $463.80 / $1,141.98	Professional		$231.90	$463.80	$1,141.98
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 $493.84 / $715.83 / $1,501.89	Professional		$493.84	$715.83	$1,501.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $845.09 / $1,052.46 / $1,107.84	Professional	50	$845.09	$1,052.46	$1,107.84
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 $446.27 / $697.69 / $1,375.04	Professional		$446.27	$697.69	$1,375.04
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 $493.06 / $774.46 / $1,487.74	Professional		$493.06	$774.46	$1,487.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $780.34 / $1,242.84	Professional		$446.76	$780.34	$1,242.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.70 / $807.23 / $1,463.00	Professional		$524.70	$807.23	$1,463.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,684.60 / $3,789.42 / $26,542.00	Facility		$3,684.60	$3,789.42	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,805.00 / $5,315.84 / $6,114.98	Professional		$4,805.00	$5,315.84	$6,114.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $494.99 / $776.42 / $1,237.56	Facility		$494.99	$776.42	$1,237.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $513.13 / $826.46 / $1,621.33	Professional		$513.13	$826.46	$1,621.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,769.87 / $1,769.87 / $2,447.89	Professional		$1,769.87	$1,769.87	$2,447.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $563.40 / $732.42 / $1,014.12	Professional		$563.40	$732.42	$1,014.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.76 / $730.80 / $1,798.01	Professional		$563.76	$730.80	$1,798.01