Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.67 / $609.02 / $3,266.33	Professional		$520.67	$609.02	$3,266.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.58 / $303.58 / $303.58	Professional		$303.58	$303.58	$303.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.01 / $852.92 / $1,702.31	Professional		$681.01	$852.92	$1,702.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,539.24	Facility		$66.00	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $496.21 / $713.92 / $1,616.66	Professional		$496.21	$713.92	$1,616.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,894.76 / $12,348.83	Facility		$3,203.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.97 / $791.36 / $1,703.33	Professional		$619.97	$791.36	$1,703.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $745.07 / $1,005.84	Professional		$379.37	$745.07	$1,005.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $609.16 / $829.02 / $1,489.05	Professional		$609.16	$829.02	$1,489.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,545.22 / $19,913.50 / $26,542.00	Facility		$3,545.22	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,569.28 / $4,655.76 / $5,443.43	Professional		$4,569.28	$4,655.76	$5,443.43
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 $644.11 / $805.96 / $1,105.81	Facility		$644.11	$805.96	$1,105.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $619.97 / $844.43 / $1,671.21	Professional		$619.97	$844.43	$1,671.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,026.70 / $2,026.70 / $2,026.70	Professional		$2,026.70	$2,026.70	$2,026.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $493.19 / $669.79 / $826.98	Professional		$493.19	$669.79	$826.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $21,278.00	Facility		$5,116.00	$9,759.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.38 / $644.87 / $1,385.95	Professional		$484.38	$644.87	$1,385.95