Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,008.00 / $22,079.00	Facility		$2,387.00	$9,008.00	$22,079.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.40 / $971.57 / $4,982.74	Professional		$811.40	$971.57	$4,982.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $610.34 / $610.34 / $610.34	Professional		$610.34	$610.34	$610.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,066.84 / $1,346.51 / $2,688.46	Professional		$1,066.84	$1,346.51	$2,688.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,593.91	Facility		$64.40	$100.00	$7,593.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $755.79 / $1,083.72 / $2,450.98	Professional		$755.79	$1,083.72	$2,450.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,544.00 / $3,544.00 / $3,544.00	Facility		$3,544.00	$3,544.00	$3,544.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.31 / $1,196.44 / $2,570.48	Professional		$944.31	$1,196.44	$2,570.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,393.23	Professional		$505.96	$765.66	$1,393.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $890.38 / $1,239.95 / $2,245.08	Professional		$890.38	$1,239.95	$2,245.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,516.60 / $5,637.30	Facility		$55.00	$5,516.60	$5,637.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,945.68 / $7,097.44 / $8,280.83	Professional		$6,945.68	$7,097.44	$8,280.83
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 $1,003.09 / $1,236.64 / $1,633.47	Facility		$1,003.09	$1,236.64	$1,633.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $944.50 / $1,258.66 / $2,559.23	Professional		$944.50	$1,258.66	$2,559.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,091.70 / $3,091.70 / $3,091.70	Professional		$3,091.70	$3,091.70	$3,091.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $910.72 / $1,236.81	Professional		$657.74	$910.72	$1,236.81
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.52 / $993.34 / $2,336.83	Professional		$758.52	$993.34	$2,336.83