Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,516.00 / $17,538.00	Facility		$1,820.00	$6,516.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.17 / $446.09 / $2,175.00	Professional		$371.17	$446.09	$2,175.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $532.03 / $532.03 / $532.03	Professional		$532.03	$532.03	$532.03
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 $463.81 / $624.70 / $1,241.38	Professional		$463.81	$624.70	$1,241.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $349.41 / $507.07 / $1,139.52	Professional		$349.41	$507.07	$1,139.52
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 $435.75 / $551.15 / $1,218.27	Professional		$435.75	$551.15	$1,218.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $265.82 / $538.38 / $726.81	Professional		$265.82	$538.38	$726.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.28 / $603.28 / $1,068.91	Professional		$437.28	$603.28	$1,068.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,680.84 / $4,754.80 / $26,542.00	Facility		$1,680.84	$4,754.80	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,866.78 / $4,047.02 / $4,180.57	Professional		$3,866.78	$4,047.02	$4,180.57
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 $434.87 / $580.08 / $833.48	Facility		$434.87	$580.08	$833.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.67 / $582.66 / $1,185.11	Professional		$436.67	$582.66	$1,185.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,444.35 / $1,444.35 / $1,444.35	Professional		$1,444.35	$1,444.35	$1,444.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $473.53 / $597.74	Professional		$345.57	$473.53	$597.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,060.00 / $9,131.00	Facility		$2,048.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.90 / $452.85 / $958.73	Professional		$342.90	$452.85	$958.73