Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,631.00 / $18,309.00	Facility		$1,992.00	$7,631.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.27 / $796.73 / $4,293.46	Professional		$666.27	$796.73	$4,293.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $747.88 / $747.88 / $747.88	Professional		$747.88	$747.88	$747.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.73 / $1,160.66 / $2,332.67	Professional		$926.73	$1,160.66	$2,332.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,317.12	Facility		$66.00	$100.00	$10,317.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $663.57 / $950.73 / $2,119.42	Professional		$663.57	$950.73	$2,119.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.47 / $1,036.36 / $2,231.06	Professional		$822.47	$1,036.36	$2,231.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $954.63 / $1,288.75	Professional		$421.82	$954.63	$1,288.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.48 / $1,074.08 / $1,924.08	Professional		$775.48	$1,074.08	$1,924.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,629.89 / $19,913.50 / $26,542.00	Facility		$4,629.89	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,956.96 / $6,075.12 / $7,100.63	Professional		$5,956.96	$6,075.12	$7,100.63
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 $859.78 / $1,059.85 / $1,440.56	Facility		$859.78	$1,059.85	$1,440.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $822.47 / $1,109.61 / $2,193.23	Professional		$822.47	$1,109.61	$2,193.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,664.01 / $2,664.01 / $2,664.01	Professional		$2,664.01	$2,664.01	$2,664.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $770.41 / $1,059.31	Professional		$548.36	$770.41	$1,059.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,437.00 / $11,350.00 / $24,889.00	Facility		$6,437.00	$11,350.00	$24,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.90 / $860.72 / $1,854.13	Professional		$639.90	$860.72	$1,854.13