Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,701.00	Facility		$1,820.00	$6,695.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $565.69 / $2,337.69	Professional		$491.91	$565.69	$2,337.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.81 / $494.81 / $494.81	Professional		$494.81	$494.81	$494.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.14 / $795.67 / $1,584.48	Professional		$627.14	$795.67	$1,584.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $432.34 / $626.51 / $1,410.82	Professional		$432.34	$626.51	$1,410.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.10 / $728.69 / $1,594.52	Professional		$557.10	$728.69	$1,594.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $255.03 / $706.24 / $953.42	Professional		$255.03	$706.24	$953.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.16 / $776.89 / $1,398.63	Professional		$572.16	$776.89	$1,398.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,190.28 / $8,957.00 / $26,542.00	Facility		$2,190.28	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,269.52 / $4,338.47 / $5,030.70	Professional		$4,269.52	$4,338.47	$5,030.70
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 $600.00 / $752.54 / $1,029.86	Facility		$600.00	$752.54	$1,029.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.90 / $774.31 / $1,536.86	Professional		$562.90	$774.31	$1,536.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,882.99 / $1,882.99 / $1,882.99	Professional		$1,882.99	$1,882.99	$1,882.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $546.73 / $784.25	Professional		$331.53	$546.73	$784.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.85 / $595.79 / $1,288.76	Professional		$446.85	$595.79	$1,288.76