Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,639.00 / $23,415.00	Facility		$2,843.00	$9,639.00	$23,415.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.62 / $5,221.62 / $10,084.04	Professional		$467.62	$5,221.62	$10,084.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $449.28 / $449.28 / $449.28	Professional		$449.28	$449.28	$449.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $6,040.00 / $14,393.00	Facility		$2,160.00	$6,040.00	$14,393.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.16 / $924.23 / $18,731.66	Professional		$614.16	$924.23	$18,731.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $12,833.44	Facility		$66.09	$100.00	$12,833.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $500.48 / $1,889.06 / $12,784.33	Professional		$500.48	$1,889.06	$12,784.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,894.76 / $6,906.96 / $12,348.83	Facility		$6,894.76	$6,906.96	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.77 / $1,996.69 / $13,625.13	Professional		$523.77	$1,996.69	$13,625.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $435.59 / $626.65 / $8,666.08	Professional		$435.59	$626.65	$8,666.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.83 / $3,965.31 / $10,613.24	Professional		$473.83	$3,965.31	$10,613.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,968.92 / $9,764.58	Facility		$55.00	$8,968.92	$9,764.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,132.93 / $20,733.43 / $52,335.24	Professional		$20,132.93	$20,733.43	$52,335.24
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 $549.65 / $5,040.76 / $9,663.49	Facility		$549.65	$5,040.76	$9,663.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $538.46 / $1,704.34 / $14,176.42	Professional		$538.46	$1,704.34	$14,176.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,545.84 / $1,545.84 / $22,524.59	Professional		$1,545.84	$1,545.84	$22,524.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $435.59 / $609.83 / $8,031.83	Professional		$435.59	$609.83	$8,031.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $12,718.00 / $28,973.00	Facility		$6,366.00	$12,718.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,098.89 / $7,533.59 / $17,367.55	Professional		$5,098.89	$7,533.59	$17,367.55