Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.00 / $6,631.00 / $18,483.00	Facility		$952.00	$6,631.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.39 / $879.79 / $3,028.73	Professional		$686.39	$879.79	$3,028.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $841.61 / $841.61 / $841.61	Professional		$841.61	$841.61	$841.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,007.00 / $13,707.00	Facility		$2,675.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.54 / $943.02 / $1,999.50	Professional		$691.54	$943.02	$1,999.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $606.95 / $867.07 / $2,055.21	Professional		$606.95	$867.07	$2,055.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.78 / $1,030.48 / $2,139.96	Professional		$778.78	$1,030.48	$2,139.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,034.95 / $1,519.82	Professional		$421.82	$1,034.95	$1,519.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.33 / $1,059.97 / $1,825.07	Professional		$764.33	$1,059.97	$1,825.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,258.04 / $5,564.75 / $26,542.00	Facility		$5,258.04	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,567.76 / $6,741.60 / $7,809.83	Professional		$5,567.76	$6,741.60	$7,809.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $764.33 / $1,063.08 / $1,462.94	Facility		$764.33	$1,063.08	$1,462.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.06 / $1,074.56 / $2,160.00	Professional		$784.06	$1,074.56	$2,160.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,505.80 / $2,505.80 / $3,047.97	Professional		$2,505.80	$2,505.80	$3,047.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $797.92 / $1,250.79	Professional		$548.36	$797.92	$1,250.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,218.00 / $9,131.00	Facility		$2,348.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.76 / $950.57 / $2,308.42	Professional		$713.76	$950.57	$2,308.42