Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,494.00 / $18,309.00	Facility		$1,992.00	$7,494.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.24 / $603.90 / $2,546.66	Professional		$503.24	$603.90	$2,546.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $301.08 / $301.08	Professional		$301.08	$301.08	$301.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $17,774.00	Facility		$2,776.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.12 / $896.67 / $1,688.70	Professional		$670.12	$896.67	$1,688.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,616.59	Facility		$66.00	$100.00	$9,616.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $477.72 / $693.42 / $1,558.30	Professional		$477.72	$693.42	$1,558.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.50 / $744.78 / $1,647.18	Professional		$589.50	$744.78	$1,647.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $351.08 / $721.30 / $973.76	Professional		$351.08	$721.30	$973.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.12 / $801.00 / $1,458.28	Professional		$588.12	$801.00	$1,458.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,271.80 / $8,957.00 / $26,542.00	Facility		$2,271.80	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,307.00 / $6,307.00 / $6,307.00	Professional		$6,307.00	$6,307.00	$6,307.00
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 $643.08 / $798.78 / $1,162.80	Facility		$643.08	$798.78	$1,162.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $595.33 / $788.31 / $1,603.82	Professional		$595.33	$788.31	$1,603.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,955.32 / $1,955.32 / $1,955.32	Professional		$1,955.32	$1,955.32	$1,955.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $456.40 / $631.94 / $800.75	Professional		$456.40	$631.94	$800.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,713.00 / $21,278.00	Facility		$4,331.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $620.28 / $1,337.28	Professional		$469.55	$620.28	$1,337.28