Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.50 / $6,695.00 / $17,380.00	Facility		$1,399.50	$6,695.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.47 / $509.24 / $1,853.00	Professional		$358.47	$509.24	$1,853.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $344.81 / $344.81 / $431.01	Professional		$344.81	$344.81	$431.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.24 / $624.19 / $1,200.13	Professional		$476.24	$624.19	$1,200.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $303.72 / $433.88 / $970.70	Professional		$303.72	$433.88	$970.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.35 / $2,364.53 / $5,980.00	Facility		$2,360.35	$2,364.53	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.46 / $514.36 / $1,115.08	Professional		$410.46	$514.36	$1,115.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $334.70 / $468.86 / $633.12	Professional		$334.70	$468.86	$633.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.91 / $536.78 / $948.22	Professional		$387.91	$536.78	$948.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,529.88 / $6,817.20	Facility		$55.00	$1,529.88	$6,817.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $92.01 / $646.16 / $646.16	Facility	AS	$92.01	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,934.80 / $2,993.20 / $3,529.73	Professional		$2,934.80	$2,993.20	$3,529.73
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 $418.56 / $521.79 / $715.71	Facility		$418.56	$521.79	$715.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $45.93 / $45.93 / $132.25	Facility	AS	$45.93	$45.93	$132.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.46 / $541.17 / $1,088.08	Professional		$410.46	$541.17	$1,088.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,312.10 / $1,312.10 / $1,312.10	Professional		$1,312.10	$1,312.10	$1,312.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $378.28 / $502.05 / $633.12	Professional		$378.28	$502.05	$633.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,042.00 / $14,636.00	Facility		$3,698.00	$7,042.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $432.16 / $870.99	Professional		$318.33	$432.16	$870.99