Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.10 / $619.46 / $3,301.79	Professional		$516.10	$619.46	$3,301.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.49 / $407.49 / $407.49	Professional		$407.49	$407.49	$407.49
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 $609.20 / $830.78 / $1,671.62	Professional		$609.20	$830.78	$1,671.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $739.13 / $1,643.79	Professional		$516.40	$739.13	$1,643.79
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 $581.01 / $808.20 / $1,789.23	Professional		$581.01	$808.20	$1,789.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $286.67 / $811.68 / $1,095.77	Professional		$286.67	$811.68	$1,095.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $870.83 / $1,577.36	Professional		$638.07	$870.83	$1,577.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,413.64 / $4,754.80 / $16,394.00	Facility		$2,413.64	$4,754.80	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,692.72 / $4,858.88 / $5,583.68	Professional		$4,692.72	$4,858.88	$5,583.68
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 $623.49 / $854.31 / $1,176.94	Facility		$623.49	$854.31	$1,176.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $605.62 / $873.68 / $1,723.26	Professional		$605.62	$873.68	$1,723.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,048.69 / $2,048.69 / $2,048.69	Professional		$2,048.69	$2,048.69	$2,048.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $372.67 / $614.58 / $901.66	Professional		$372.67	$614.58	$901.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,055.00 / $4,030.00 / $9,072.00	Facility		$2,055.00	$4,030.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.30 / $624.99 / $1,412.71	Professional		$474.30	$624.99	$1,412.71