Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,116.57 / $6,537.00 / $17,538.00	Facility		$2,116.57	$6,537.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.50 / $872.55 / $3,307.75	Professional		$640.50	$872.55	$3,307.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $717.42 / $717.42 / $1,350.53	Professional		$717.42	$717.42	$1,350.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,720.00 / $11,222.00	Facility		$1,723.00	$4,720.00	$11,222.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.42 / $1,055.67 / $2,107.78	Professional		$836.42	$1,055.67	$2,107.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $600.59 / $870.99 / $1,957.35	Professional		$600.59	$870.99	$1,957.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.35 / $954.95 / $2,069.37	Professional		$747.35	$954.95	$2,069.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $941.64 / $1,271.21	Professional		$421.82	$941.64	$1,271.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.13 / $1,035.80 / $1,932.21	Professional		$758.13	$1,035.80	$1,932.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,964.88 / $16,394.00 / $19,913.50	Facility		$2,964.88	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,736.48 / $5,872.80 / $6,831.30	Professional		$5,736.48	$5,872.80	$6,831.30
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 $838.47 / $1,016.73 / $1,391.08	Facility		$838.47	$1,016.73	$1,391.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.91 / $1,016.25 / $2,070.04	Professional		$748.91	$1,016.25	$2,070.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,489.16 / $2,489.16 / $2,489.16	Professional		$2,489.16	$2,489.16	$2,489.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $760.19 / $1,045.26	Professional		$548.36	$760.19	$1,045.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $597.52 / $789.58 / $1,693.51	Professional		$597.52	$789.58	$1,693.51