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 / $18,681.00	Facility		$1,992.00	$7,648.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.67 / $1,282.73 / $5,980.00	Professional		$1,069.67	$1,282.73	$5,980.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,078.22 / $1,078.22 / $1,078.22	Professional		$1,078.22	$1,078.22	$1,078.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,110.00 / $22,008.00	Facility		$2,776.00	$9,110.00	$22,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.10 / $1,714.94 / $3,523.29	Professional		$1,335.10	$1,714.94	$3,523.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,052.99	Facility		$66.00	$100.00	$11,052.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $929.11 / $1,332.56 / $3,029.68	Professional		$929.11	$1,332.56	$3,029.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $18,483.43 / $33,104.66	Facility		$2,813.00	$18,483.43	$33,104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.59 / $1,552.58 / $3,386.23	Professional		$1,192.59	$1,552.58	$3,386.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $959.79 / $1,465.78 / $1,978.80	Professional		$959.79	$1,465.78	$1,978.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,186.60 / $1,647.92 / $2,991.86	Professional		$1,186.60	$1,647.92	$2,991.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,913.55 / $26,542.00 / $53,383.95	Facility		$5,913.55	$26,542.00	$53,383.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,131.28 / $9,307.52 / $10,884.68	Professional		$9,131.28	$9,307.52	$10,884.68
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 $1,316.79 / $1,630.32 / $2,479.46	Facility		$1,316.79	$1,630.32	$2,479.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,229.51 / $1,633.36 / $3,354.10	Professional		$1,229.51	$1,633.36	$3,354.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,072.91 / $4,072.91 / $4,072.91	Professional		$4,072.91	$4,072.91	$4,072.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,182.94 / $1,439.68 / $1,815.56	Professional		$1,182.94	$1,439.68	$1,815.56
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,205.00 / $28,253.00	Facility		$7,696.00	$13,205.00	$28,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.38 / $1,301.96 / $2,779.39	Professional		$980.38	$1,301.96	$2,779.39