Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,908.68	Facility		$3,548.13	$8,912.51	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $3,801.89	Professional		$707.95	$1,000.00	$3,801.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,290.87	Professional		$891.25	$1,202.26	$2,290.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $14,125.38	Facility		$66.07	$5,128.61	$14,125.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,290.87	Professional		$831.76	$1,174.90	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,995.26	Professional		$776.25	$1,000.00	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,096.48	Professional		$588.84	$812.83	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,778.28	Professional		$660.69	$870.96	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $6,606.93	Professional		$5,623.41	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,548.82	Facility		$758.58	$1,000.00	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,995.26	Professional		$758.58	$1,023.29	$1,995.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,258.93	Professional		$660.69	$891.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,659.59	Professional		$602.56	$812.83	$1,659.59