Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $5,084.75 / $15,234.00	Facility		$1,080.00	$5,084.75	$15,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.82 / $541.23 / $2,091.23	Professional		$248.82	$541.23	$2,091.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.84 / $340.87 / $556.79	Professional		$250.84	$340.87	$556.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.60 / $439.87 / $1,241.02	Professional		$335.60	$439.87	$1,241.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $6,731.29	Facility		$66.90	$100.00	$6,731.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $289.43 / $561.66 / $1,070.92	Professional		$289.43	$561.66	$1,070.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.63 / $588.05 / $1,135.59	Professional		$307.63	$588.05	$1,135.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $402.04 / $1,020.72	Professional		$210.72	$402.04	$1,020.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.43 / $610.75 / $1,133.55	Professional		$316.43	$610.75	$1,133.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,399.20 / $1,550.35 / $16,394.00	Facility		$1,399.20	$1,550.35	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,523.00 / $4,196.47 / $4,976.47	Professional		$2,523.00	$4,196.47	$4,976.47
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 $303.44 / $571.17 / $955.01	Facility		$303.44	$571.17	$955.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.42 / $627.19 / $1,237.66	Professional		$314.42	$627.19	$1,237.66
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,852.00 / $2,852.00 / $2,852.00	Facility		$2,852.00	$2,852.00	$2,852.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $952.28 / $952.28 / $1,831.05	Professional		$952.28	$952.28	$1,831.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.01 / $398.61 / $840.41	Professional		$295.01	$398.61	$840.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,593.00 / $3,964.00 / $9,072.00	Facility		$1,593.00	$3,964.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.36 / $581.25 / $1,270.24	Professional		$437.36	$581.25	$1,270.24