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 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.43 / $1,178.83 / $6,091.69	Professional		$987.43	$1,178.83	$6,091.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,058.22 / $1,058.22 / $1,058.22	Professional		$1,058.22	$1,058.22	$1,058.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,386.52 / $1,777.03 / $3,345.55	Professional		$1,386.52	$1,777.03	$3,345.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,035.69	Facility		$66.00	$100.00	$11,035.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,060.43 / $1,514.90 / $3,307.00	Professional		$1,060.43	$1,514.90	$3,307.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $8,738.87 / $15,651.72	Facility		$2,813.00	$8,738.87	$15,651.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.46 / $1,592.08 / $3,198.63	Professional		$1,194.46	$1,592.08	$3,198.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $969.84 / $1,336.90 / $1,834.58	Professional		$969.84	$1,336.90	$1,834.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,086.95 / $1,509.65 / $2,706.37	Professional		$1,086.95	$1,509.65	$2,706.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.08 / $25,239.65 / $26,542.00	Facility		$4,365.08	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,810.18 / $9,100.92 / $10,035.23	Professional		$8,810.18	$9,100.92	$10,035.23
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 $1,231.38 / $1,604.28 / $2,182.73	Facility		$1,231.38	$1,604.28	$2,182.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,205.02 / $1,658.42 / $3,111.51	Professional		$1,205.02	$1,658.42	$3,111.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,779.78 / $3,779.78 / $3,779.78	Professional		$3,779.78	$3,779.78	$3,779.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,078.76 / $1,454.76 / $1,834.57	Professional		$1,078.76	$1,454.76	$1,834.57
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,555.00 / $28,973.00	Facility		$7,696.00	$13,555.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.44 / $1,247.27 / $2,575.92	Professional		$912.44	$1,247.27	$2,575.92