Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,880.00 / $18,681.00	Facility		$2,387.00	$6,880.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.97 / $1,417.23 / $5,183.00	Professional		$1,179.97	$1,417.23	$5,183.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,244.80 / $1,244.80 / $1,244.80	Professional		$1,244.80	$1,244.80	$1,244.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $12,321.00 / $25,636.00	Facility		$3,585.00	$12,321.00	$25,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,551.04 / $1,957.61 / $3,890.73	Professional		$1,551.04	$1,957.61	$3,890.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $22,037.47	Facility		$66.00	$100.00	$22,037.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,066.35 / $1,523.37 / $3,464.01	Professional		$1,066.35	$1,523.37	$3,464.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $21,605.72 / $38,696.82	Facility		$2,277.00	$21,605.72	$38,696.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.29 / $1,717.60 / $3,697.55	Professional		$1,356.29	$1,717.60	$3,697.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $686.15 / $1,573.32 / $2,123.98	Professional		$686.15	$1,573.32	$2,123.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.02 / $1,776.33 / $3,280.21	Professional		$1,263.02	$1,776.33	$3,280.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,500.00 / $62,401.75	Facility		$55.00	$33,500.00	$62,401.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,902.24 / $10,099.68 / $11,805.98	Professional		$9,902.24	$10,099.68	$11,805.98
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 $1,421.06 / $1,753.55 / $2,511.76	Facility		$1,421.06	$1,753.55	$2,511.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,368.27 / $1,785.61 / $3,653.30	Professional		$1,368.27	$1,785.61	$3,653.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,448.09 / $4,448.09 / $4,448.09	Professional		$4,448.09	$4,448.09	$4,448.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.99 / $1,269.54 / $1,745.61	Professional		$891.99	$1,269.54	$1,745.61
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,784.00 / $29,571.00	Facility		$7,212.00	$13,784.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.08 / $1,428.12 / $3,031.70	Professional		$1,071.08	$1,428.12	$3,031.70