Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,079.46 / $18,620.87	Facility		$2,818.38	$7,079.46	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $2,691.53	Professional		$676.08	$891.25	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $2,570.40	Professional		$724.44	$1,000.00	$2,570.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,398.83 / $8,709.64	Facility		$66.07	$2,398.83	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $2,089.30	Professional		$676.08	$933.25	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,949.84	Professional		$724.44	$1,023.29	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $954.99 / $1,412.54	Professional		$338.84	$954.99	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,819.70	Professional		$707.95	$1,047.13	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $45,708.82 / $45,708.82	Facility		$5,623.41	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $7,943.28	Professional		$6,760.83	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,318.26	Professional		$794.33	$794.33	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $1,445.44	Facility		$707.95	$954.99	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,995.26	Professional		$724.44	$1,023.29	$1,995.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,090.30	Professional		$2,630.27	$2,630.27	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,023.29	Professional		$426.58	$630.96	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,000.00	Facility		$2,344.23	$4,365.16	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,737.80	Professional		$645.65	$870.96	$1,737.80