Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,490.00 / $23,163.29	Facility		$2,843.00	$9,490.00	$23,163.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.19 / $3,374.21 / $5,329.64	Professional		$762.19	$3,374.21	$5,329.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,671.50 / $1,671.50 / $1,671.50	Professional		$1,671.50	$1,671.50	$1,671.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.07 / $1,319.94 / $4,206.91	Professional		$1,007.07	$1,319.94	$4,206.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $880.51 / $2,352.53 / $4,933.85	Professional		$880.51	$2,352.53	$4,933.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $7,572.03 / $13,561.85	Facility		$4,445.00	$7,572.03	$13,561.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.66 / $2,673.44 / $8,453.76	Professional		$877.66	$2,673.44	$8,453.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,125.11 / $6,396.24	Professional		$744.60	$1,125.11	$6,396.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.77 / $2,919.00 / $7,877.56	Professional		$812.77	$2,919.00	$7,877.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,299.89 / $7,299.89 / $26,542.00	Facility		$7,299.89	$7,299.89	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,822.85 / $28,693.84 / $33,725.62	Professional		$14,822.85	$28,693.84	$33,725.62
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 $813.57 / $1,449.22 / $6,466.86	Facility		$813.57	$1,449.22	$6,466.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $896.70 / $2,781.13 / $9,566.81	Professional		$896.70	$2,781.13	$9,566.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,672.91 / $2,672.91 / $13,981.55	Professional		$2,672.91	$2,672.91	$13,981.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $833.28 / $1,220.70 / $5,927.96	Professional		$833.28	$1,220.70	$5,927.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,341.00 / $26,451.00	Facility		$6,142.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,966.34 / $3,891.23 / $10,745.92	Professional		$2,966.34	$3,891.23	$10,745.92