Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.96 / $6,268.00 / $17,133.00	Facility		$1,023.96	$6,268.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.21 / $945.39 / $2,822.61	Professional		$734.21	$945.39	$2,822.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $816.14 / $816.14 / $966.00	Professional		$816.14	$816.14	$966.00
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 $738.65 / $1,007.25 / $2,148.19	Professional		$738.65	$1,007.25	$2,148.19
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 $656.05 / $937.21 / $2,223.04	Professional		$656.05	$937.21	$2,223.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.14 / $1,111.19 / $2,294.12	Professional		$834.14	$1,111.19	$2,294.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $740.88 / $1,112.04 / $1,643.14	Professional		$740.88	$1,112.04	$1,643.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.15 / $1,139.90 / $1,958.84	Professional		$820.15	$1,139.90	$1,958.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,637.48 / $5,755.56 / $26,542.00	Facility		$5,637.48	$5,755.56	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,969.04 / $7,269.36 / $8,421.68	Professional		$5,969.04	$7,269.36	$8,421.68
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 $820.15 / $1,208.74 / $1,549.02	Facility		$820.15	$1,208.74	$1,549.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $844.62 / $1,158.42 / $2,327.77	Professional		$844.62	$1,158.42	$2,327.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,686.09 / $2,686.09 / $3,281.16	Professional		$2,686.09	$2,686.09	$3,281.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $781.13 / $1,074.05 / $1,401.46	Professional		$781.13	$1,074.05	$1,401.46
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 $767.60 / $1,023.50 / $2,485.85	Professional		$767.60	$1,023.50	$2,485.85