Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.45 / $884.80 / $4,655.01	Professional		$750.45	$884.80	$4,655.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $807.56 / $807.56 / $807.56	Professional		$807.56	$807.56	$807.56
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 $1,040.99 / $1,414.93 / $2,600.62	Professional		$1,040.99	$1,414.93	$2,600.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,366.65	Facility		$64.40	$100.00	$7,366.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $794.75 / $1,135.35 / $2,485.98	Professional		$794.75	$1,135.35	$2,485.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.57 / $1,237.79 / $2,410.82	Professional		$917.57	$1,237.79	$2,410.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $699.92 / $1,014.63 / $1,323.99	Professional		$699.92	$1,014.63	$1,323.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.51 / $1,147.93 / $2,058.85	Professional		$826.51	$1,147.93	$2,058.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,113.52 / $6,239.52	Facility		$55.00	$6,113.52	$6,239.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,643.43 / $6,862.66 / $7,657.13	Professional		$6,643.43	$6,862.66	$7,657.13
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 $935.84 / $1,217.56 / $1,736.07	Facility		$935.84	$1,217.56	$1,736.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $923.82 / $1,273.16 / $2,377.42	Professional		$923.82	$1,273.16	$2,377.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,888.35 / $2,888.35 / $2,888.35	Professional		$2,888.35	$2,888.35	$2,888.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $818.65 / $1,049.89 / $1,323.99	Professional		$818.65	$1,049.89	$1,323.99
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.58 / $954.23 / $2,163.23	Professional		$712.58	$954.23	$2,163.23