Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $5,754.40	Professional		$954.99	$1,174.90	$5,754.40
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 $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,311.31	Professional		$1,258.93	$1,862.09	$3,311.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,709.64	Facility		$66.07	$3,388.44	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,818.38	Professional		$1,023.29	$1,445.44	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,754.23	Professional		$1,047.13	$1,348.96	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,513.56	Professional		$870.96	$1,122.02	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,238.72	Professional		$912.01	$1,202.26	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,760.83	Facility		$54.95	$56.23	$6,760.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $9,120.11	Professional		$7,585.78	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,137.96	Facility		$1,023.29	$1,318.26	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,818.38	Professional		$1,047.13	$1,380.38	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,479.11	Professional		$870.96	$1,148.15	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $15,135.61	Facility		$3,981.07	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,290.87	Professional		$812.83	$1,122.02	$2,290.87