Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $5,990.00 / $17,054.00	Facility		$1,539.00	$5,990.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.29 / $790.58 / $2,848.48	Professional		$672.29	$790.58	$2,848.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $916.50 / $916.50 / $916.50	Professional		$916.50	$916.50	$916.50
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 $825.81 / $1,097.42 / $2,228.14	Professional		$825.81	$1,097.42	$2,228.14
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 $585.17 / $847.50 / $1,904.55	Professional		$585.17	$847.50	$1,904.55
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 $771.95 / $1,003.02 / $2,226.57	Professional		$771.95	$1,003.02	$2,226.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $980.88 / $1,324.19	Professional		$348.85	$980.88	$1,324.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.72 / $1,086.55 / $2,018.18	Professional		$789.72	$1,086.55	$2,018.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,089.08 / $16,394.00 / $19,913.50	Facility		$3,089.08	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,973.60 / $6,088.40 / $7,119.83	Professional		$5,973.60	$6,088.40	$7,119.83
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 $768.00 / $1,041.54 / $1,435.25	Facility		$768.00	$1,041.54	$1,435.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $790.94 / $1,058.56 / $2,179.91	Professional		$790.94	$1,058.56	$2,179.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,646.82 / $2,646.82 / $2,646.82	Professional		$2,646.82	$2,646.82	$2,646.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $453.50 / $747.87 / $1,088.81	Professional		$453.50	$747.87	$1,088.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,384.00 / $15,471.00	Facility		$3,800.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $823.53 / $1,778.22	Professional		$630.72	$823.53	$1,778.22