Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,538.00	Facility		$1,820.00	$6,640.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.98 / $607.44 / $2,528.00	Professional		$523.98	$607.44	$2,528.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.88 / $259.88 / $259.88	Professional		$259.88	$259.88	$259.88
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 $603.69 / $791.47 / $1,526.90	Professional		$603.69	$791.47	$1,526.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $454.77 / $653.38 / $1,469.39	Professional		$454.77	$653.38	$1,469.39
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 $587.21 / $763.37 / $1,585.27	Professional		$587.21	$763.37	$1,585.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $570.36 / $684.43 / $1,078.91	Professional		$570.36	$684.43	$1,078.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.29 / $751.22 / $1,340.28	Professional		$548.29	$751.22	$1,340.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,122.96 / $8,957.00 / $26,542.00	Facility		$2,122.96	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,399.59 / $4,544.78 / $4,787.47	Professional		$4,399.59	$4,544.78	$4,787.47
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 $600.79 / $760.73 / $1,067.33	Facility		$600.79	$760.73	$1,067.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $596.84 / $805.10 / $1,553.76	Professional		$596.84	$805.10	$1,553.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,903.02 / $1,903.02 / $1,903.02	Professional		$1,903.02	$1,903.02	$1,903.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $570.36 / $740.99 / $1,078.91	Professional		$570.36	$740.99	$1,078.91
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 $458.83 / $621.72 / $1,284.48	Professional		$458.83	$621.72	$1,284.48