Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $6,989.27 / $23,163.29	Facility		$927.00	$6,989.27	$23,163.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.48 / $761.72 / $2,874.88	Professional		$521.48	$761.72	$2,874.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $433.67 / $433.67 / $491.49	Professional		$433.67	$433.67	$491.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.99 / $907.33 / $1,755.28	Professional		$614.99	$907.33	$1,755.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $9,174.96	Facility		$66.90	$100.00	$9,174.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $573.66 / $819.53 / $1,686.92	Professional		$573.66	$819.53	$1,686.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $19,284.81 / $34,539.94	Facility		$2,000.00	$19,284.81	$34,539.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.49 / $947.14 / $2,032.41	Professional		$634.49	$947.14	$2,032.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $400.59 / $773.59 / $1,689.88	Professional		$400.59	$773.59	$1,689.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.17 / $1,071.03 / $1,882.00	Professional		$624.17	$1,071.03	$1,882.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,845.24 / $3,043.75 / $26,542.00	Facility		$2,845.24	$3,043.75	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $275.97 / $304.38 / $304.38	Facility	AS	$275.97	$304.38	$304.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,414.80 / $7,266.00 / $8,437.79	Professional		$4,414.80	$7,266.00	$8,437.79
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 $722.59 / $970.37 / $1,559.50	Facility		$722.59	$970.37	$1,559.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $395.98 / $395.98 / $395.98	Facility	80	$395.98	$395.98	$395.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $102.19 / $102.19 / $336.58	Facility	AS	$102.19	$102.19	$336.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.71 / $1,033.68 / $2,170.12	Professional		$655.71	$1,033.68	$2,170.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,984.59 / $1,984.59 / $3,532.96	Professional		$1,984.59	$1,984.59	$3,532.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $560.83 / $757.77 / $1,391.23	Professional		$560.83	$757.77	$1,391.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,758.00 / $21,278.00	Facility		$5,116.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.08 / $954.86 / $2,345.08	Professional		$717.08	$954.86	$2,345.08