Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,357.00 / $17,030.00	Facility		$1,919.00	$6,357.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.62 / $1,209.90 / $6,577.63	Professional		$521.62	$1,209.90	$6,577.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,139.20 / $1,139.20 / $1,139.20	Professional		$1,139.20	$1,139.20	$1,139.20
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 $679.51 / $968.97 / $2,177.71	Professional		$679.51	$968.97	$2,177.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,230.50	Facility		$66.00	$100.00	$7,230.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $486.97 / $704.62 / $1,725.26	Professional		$486.97	$704.62	$1,725.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.33 / $1,399.04 / $3,355.74	Professional		$617.33	$1,399.04	$3,355.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $1,433.72 / $1,935.52	Professional		$278.48	$1,433.72	$1,935.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.11 / $1,621.19 / $2,907.12	Professional		$1,153.11	$1,621.19	$2,907.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,396.40 / $11,503.20 / $16,394.00	Facility		$9,396.40	$11,503.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,058.00 / $9,240.71 / $10,798.05	Professional		$9,058.00	$9,240.71	$10,798.05
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 $742.70 / $1,484.50 / $2,076.83	Facility		$742.70	$1,484.50	$2,076.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $620.29 / $1,486.96 / $3,314.13	Professional		$620.29	$1,486.96	$3,314.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,081.31 / $4,081.31 / $4,081.31	Professional		$4,081.31	$4,081.31	$4,081.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $362.02 / $597.02 / $1,590.64	Professional		$362.02	$597.02	$1,590.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.59 / $1,126.54 / $2,747.20	Professional		$573.59	$1,126.54	$2,747.20