Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.98 / $5,076.00 / $15,877.00	Facility		$706.98	$5,076.00	$15,877.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $934.20 / $5,996.00 / $11,952.00	Facility	50	$934.20	$5,996.00	$11,952.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $350.95 / $824.80	Professional		$160.33	$350.95	$824.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $405.56 / $1,999.24	Professional	50	$114.04	$405.56	$1,999.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.32 / $183.32 / $183.32	Professional		$183.32	$183.32	$183.32
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $706.22 / $706.22 / $706.22	Professional	50	$706.22	$706.22	$706.22
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 $238.17 / $360.05 / $865.10	Professional		$238.17	$360.05	$865.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $433.57 / $556.78 / $618.64	Professional	50	$433.57	$556.78	$618.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,564.23	Facility		$66.70	$100.00	$6,564.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $415.49 / $801.61	Professional		$247.35	$415.49	$801.61
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 $241.45 / $421.09 / $784.46	Professional		$241.45	$421.09	$784.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $221.15 / $334.66 / $632.41	Professional		$221.15	$334.66	$632.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.78 / $379.93 / $716.44	Professional		$225.78	$379.93	$716.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,517.16 / $1,560.84 / $16,394.00	Facility		$1,517.16	$1,560.84	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.24 / $3,064.73 / $3,896.06	Professional		$1,610.24	$3,064.73	$3,896.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.59 / $398.72 / $668.37	Facility		$236.59	$398.72	$668.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.45 / $449.46 / $852.80	Professional		$241.45	$449.46	$852.80
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,307.00 / $3,307.00 / $3,307.00	Facility		$3,307.00	$3,307.00	$3,307.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $727.98 / $727.98 / $1,301.40	Professional		$727.98	$727.98	$1,301.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $362.55 / $501.99	Professional		$234.00	$362.55	$501.99
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 $309.12 / $404.86 / $917.76	Professional		$309.12	$404.86	$917.76