Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $5,324.00 / $16,713.00	Facility		$2,134.00	$5,324.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.70 / $573.91 / $2,218.00	Professional		$442.70	$573.91	$2,218.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.92 / $573.91 / $898.76	Professional		$243.92	$573.91	$898.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,978.00 / $13,707.00	Facility		$2,456.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.99 / $721.83 / $1,421.29	Professional		$553.99	$721.83	$1,421.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $6,651.83	Facility		$66.90	$100.00	$6,651.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $378.62 / $549.04 / $1,233.84	Professional		$378.62	$549.04	$1,233.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.96 / $1,393.42 / $2,491.26	Facility		$1,390.96	$1,393.42	$2,491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.41 / $645.92 / $1,449.57	Professional		$485.41	$645.92	$1,449.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $287.04 / $634.01 / $855.91	Professional		$287.04	$634.01	$855.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.53 / $706.58 / $1,262.61	Professional		$516.53	$706.58	$1,262.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,993.00 / $4,017.35 / $16,394.00	Facility		$1,993.00	$4,017.35	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,377.56 / $4,522.02 / $4,581.30	Professional		$4,377.56	$4,522.02	$4,581.30
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 $527.89 / $678.31 / $942.30	Facility		$527.89	$678.31	$942.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.41 / $681.94 / $1,402.56	Professional		$485.41	$681.94	$1,402.56
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $2,614.00 / $2,614.00	Facility		$2,614.00	$2,614.00	$2,614.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,717.83 / $1,717.83 / $1,717.83	Professional		$1,717.83	$1,717.83	$1,717.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $373.16 / $516.67 / $703.87	Professional		$373.16	$516.67	$703.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $538.94 / $1,174.33	Professional		$407.43	$538.94	$1,174.33