Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $21,877.62	Facility		$4,168.69	$10,471.29	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $8,511.38	Professional		$1,995.26	$2,630.27	$8,511.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,786.30	Professional		$3,630.78	$3,630.78	$4,786.30
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 $2,454.71 / $3,311.31 / $6,606.93	Professional		$2,454.71	$3,311.31	$6,606.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,011.87 / $12,589.25	Facility		$66.07	$5,011.87	$12,589.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $6,025.60	Professional		$2,137.96	$3,090.30	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $5,495.41	Professional		$2,089.30	$2,754.23	$5,495.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $2,951.21	Professional		$1,479.11	$2,187.76	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $5,011.87	Professional		$1,778.28	$2,344.23	$5,011.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,952.62	Facility		$54.95	$56.23	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Professional		$19,498.45	$19,498.45	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $4,677.35	Facility		$2,089.30	$2,754.23	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $5,623.41	Professional		$2,089.30	$2,754.23	$5,623.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,162.28	Professional		$1,778.28	$2,238.72	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $4,786.30	Professional		$1,737.80	$2,344.23	$4,786.30