Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $945.75 / $1,154.89 / $6,078.59	Professional		$945.75	$1,154.89	$6,078.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,387.40 / $1,387.40 / $1,387.40	Professional		$1,387.40	$1,387.40	$1,387.40
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 $1,199.11 / $1,610.86 / $3,217.20	Professional		$1,199.11	$1,610.86	$3,217.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,677.87	Facility		$66.00	$100.00	$9,677.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $979.86 / $1,413.19 / $3,140.31	Professional		$979.86	$1,413.19	$3,140.31
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 $1,146.80 / $1,464.96 / $3,195.76	Professional		$1,146.80	$1,464.96	$3,195.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $1,394.65 / $1,882.78	Professional		$632.54	$1,394.65	$1,882.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,100.30 / $1,542.39 / $2,774.79	Professional		$1,100.30	$1,542.39	$2,774.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,379.08 / $8,957.00 / $26,542.00	Facility		$4,379.08	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,474.08 / $8,720.71 / $10,092.23	Professional		$8,474.08	$8,720.71	$10,092.23
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 $1,241.96 / $1,561.14 / $2,081.10	Facility		$1,241.96	$1,561.14	$2,081.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,147.23 / $1,582.78 / $3,129.04	Professional		$1,147.23	$1,582.78	$3,129.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,771.63 / $3,771.63 / $3,771.63	Professional		$3,771.63	$3,771.63	$3,771.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $822.30 / $1,138.57 / $1,548.18	Professional		$822.30	$1,138.57	$1,548.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,523.00 / $9,758.00 / $21,278.00	Facility		$4,523.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $915.04 / $1,200.70 / $2,860.97	Professional		$915.04	$1,200.70	$2,860.97