Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,246.41 / $11,675.00 / $31,662.00	Facility		$3,246.41	$11,675.00	$31,662.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $265.19 / $288.70 / $1,623.21	Facility	52	$265.19	$288.70	$1,623.21
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $106.07 / $115.48 / $649.28	Facility	53	$106.07	$115.48	$649.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $775.22 / $2,946.27	Professional		$530.37	$775.22	$2,946.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $456.68 / $456.68 / $508.07	Professional		$456.68	$456.68	$508.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $15,064.00 / $32,299.00	Facility		$4,204.00	$15,064.00	$32,299.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.49 / $1,126.42 / $2,023.70	Professional		$839.49	$1,126.42	$2,023.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $15,743.39	Facility		$66.90	$100.00	$15,743.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $390.69 / $579.14 / $1,290.44	Professional		$390.69	$579.14	$1,290.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,197.00 / $13,335.00 / $23,091.00	Facility		$9,197.00	$13,335.00	$23,091.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.20 / $736.54 / $1,904.06	Professional		$588.20	$736.54	$1,904.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $483.05 / $595.40 / $9,806.16	Professional		$483.05	$595.40	$9,806.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.86 / $677.42 / $1,271.99	Professional		$535.86	$677.42	$1,271.99
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,792.22 / $39,670.90 / $39,670.90	Facility		$4,792.22	$39,670.90	$39,670.90
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,018.95 / $30,081.88 / $30,081.88	Facility	52	$1,018.95	$30,081.88	$30,081.88
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $254.74 / $7,520.47 / $7,520.47	Facility	53	$254.74	$7,520.47	$7,520.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,571.80 / $3,571.80 / $4,890.89	Professional		$3,571.80	$3,571.80	$4,890.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.85 / $782.06 / $18,892.00	Facility		$570.85	$782.06	$18,892.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.20 / $736.54 / $1,675.73	Professional		$588.20	$736.54	$1,675.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,871.64 / $1,871.64 / $1,871.64	Professional		$1,871.64	$1,871.64	$1,871.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $483.05 / $627.96 / $821.18	Professional		$483.05	$627.96	$821.18
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $14,315.00 / $32,191.00	Facility		$7,212.00	$14,315.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.07 / $721.59 / $1,564.17	Professional		$497.07	$721.59	$1,564.17