Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,483.00	Facility		$1,992.00	$7,648.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.47 / $1,118.40 / $4,768.00	Professional		$944.47	$1,118.40	$4,768.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,618.82 / $5,618.82 / $5,618.82	Professional		$5,618.82	$5,618.82	$5,618.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $18,269.00	Facility		$2,456.00	$7,362.00	$18,269.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.91 / $1,550.06 / $3,099.65	Professional		$1,172.91	$1,550.06	$3,099.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $16,381.88	Facility		$66.00	$100.00	$16,381.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $840.11 / $1,207.55 / $2,740.66	Professional		$840.11	$1,207.55	$2,740.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $13,026.72 / $23,331.45	Facility		$2,277.00	$13,026.72	$23,331.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.33 / $1,369.24 / $2,979.95	Professional		$1,047.33	$1,369.24	$2,979.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $818.69 / $1,289.66 / $9,300.16	Professional		$818.69	$1,289.66	$9,300.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.01 / $1,447.59 / $2,629.22	Professional		$1,043.01	$1,447.59	$2,629.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,189.00 / $37,623.85	Facility		$55.00	$5,189.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,014.80 / $8,172.08 / $9,552.37	Professional		$8,014.80	$8,172.08	$9,552.37
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 $1,158.90 / $1,414.99 / $1,906.94	Facility		$1,158.90	$1,414.99	$1,906.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,085.59 / $1,420.24 / $2,946.18	Professional		$1,085.59	$1,420.24	$2,946.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,575.19 / $3,575.19 / $3,575.19	Professional		$3,575.19	$3,575.19	$3,575.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,040.83 / $1,170.95 / $1,431.16	Professional		$1,040.83	$1,170.95	$1,431.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,341.00 / $26,451.00	Facility		$6,142.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $858.40 / $1,143.73 / $2,489.91	Professional		$858.40	$1,143.73	$2,489.91