Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $16,713.00	Facility		$1,919.00	$6,159.00	$16,713.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,276.75 / $9,276.75 / $9,276.75	Facility	50	$9,276.75	$9,276.75	$9,276.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.70 / $571.15 / $1,176.46	Professional		$478.70	$571.15	$1,176.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,003.79 / $3,003.79 / $3,115.02	Professional	50	$3,003.79	$3,003.79	$3,115.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $591.10 / $591.10 / $591.10	Professional		$591.10	$591.10	$591.10
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 $546.99 / $772.80 / $1,554.93	Professional		$546.99	$772.80	$1,554.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $736.68 / $887.44 / $1,172.66	Professional	50	$736.68	$887.44	$1,172.66
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 $391.54 / $566.65 / $1,303.83	Professional		$391.54	$566.65	$1,303.83
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 $508.13 / $711.97 / $1,627.92	Professional		$508.13	$711.97	$1,627.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $718.87 / $862.64 / $1,438.50	Professional		$718.87	$862.64	$1,438.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.53 / $751.24 / $1,415.74	Professional		$564.53	$751.24	$1,415.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,280.62 / $11,500.00 / $16,394.00	Facility		$3,280.62	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,166.30 / $5,166.30 / $5,166.30	Professional		$5,166.30	$5,166.30	$5,166.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $621.89 / $783.82 / $1,154.74	Facility		$621.89	$783.82	$1,154.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.13 / $765.45 / $1,654.90	Professional		$508.13	$765.45	$1,654.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,979.25 / $1,979.25 / $1,979.25	Professional		$1,979.25	$1,979.25	$1,979.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.25 / $1,078.81 / $1,779.08	Professional		$630.25	$1,078.81	$1,779.08
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 $460.89 / $597.45 / $1,492.30	Professional		$460.89	$597.45	$1,492.30