Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $5,639.00 / $16,756.00	Facility		$1,038.00	$5,639.00	$16,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.22 / $740.54 / $2,793.75	Professional		$625.22	$740.54	$2,793.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $629.58 / $741.80 / $3,333.90	Professional		$629.58	$741.80	$3,333.90
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 $591.76 / $785.43 / $1,637.94	Professional		$591.76	$785.43	$1,637.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,680.36	Facility		$66.09	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $478.16 / $686.30 / $1,654.32	Professional		$478.16	$686.30	$1,654.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.64 / $855.08 / $1,813.05	Professional		$652.64	$855.08	$1,813.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $907.80 / $1,259.01	Professional		$421.82	$907.80	$1,259.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.44 / $918.63 / $1,595.47	Professional		$668.44	$918.63	$1,595.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,589.88 / $5,564.75 / $26,542.00	Facility		$4,589.88	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,000.00 / $7,000.00 / $7,000.00	Professional		$7,000.00	$7,000.00	$7,000.00
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 $654.50 / $927.61 / $1,246.00	Facility		$654.50	$927.61	$1,246.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $665.81 / $896.90 / $1,820.85	Professional		$665.81	$896.90	$1,820.85
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,127.00 / $3,127.00 / $3,127.00	Facility		$3,127.00	$3,127.00	$3,127.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,180.01 / $2,180.01 / $2,528.63	Professional		$2,180.01	$2,180.01	$2,528.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $472.43 / $717.09 / $957.50	Professional		$472.43	$717.09	$957.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.29 / $790.36 / $1,908.31	Professional		$591.29	$790.36	$1,908.31