Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.00 / $8,859.00 / $19,368.00	Facility		$1,045.00	$8,859.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.16 / $828.63 / $2,816.42	Professional		$598.16	$828.63	$2,816.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $461.16 / $518.80 / $520.05	Professional		$461.16	$518.80	$520.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $7,007.00 / $14,981.00	Facility		$2,616.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.43 / $997.90 / $1,789.10	Professional		$701.43	$997.90	$1,789.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $11,476.77	Facility		$66.90	$100.00	$11,476.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $598.66 / $845.59 / $1,913.30	Professional		$598.66	$845.59	$1,913.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $8,791.82 / $15,746.54	Facility		$3,203.00	$8,791.82	$15,746.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.22 / $986.97 / $1,992.63	Professional		$683.22	$986.97	$1,992.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $552.49 / $836.09 / $1,687.43	Professional		$552.49	$836.09	$1,687.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.52 / $1,069.35 / $1,891.05	Professional		$622.52	$1,069.35	$1,891.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.80 / $3,035.06 / $26,542.00	Facility		$2,818.80	$3,035.06	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $275.06 / $303.51 / $303.51	Facility	AS	$275.06	$303.51	$303.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,137.00 / $7,255.04 / $8,417.25	Professional		$5,137.00	$7,255.04	$8,417.25
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 $720.66 / $1,052.82 / $1,562.44	Facility		$720.66	$1,052.82	$1,562.44
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $383.90 / $383.90 / $383.90	Facility	80	$383.90	$383.90	$383.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $101.87 / $101.87 / $326.31	Facility	AS	$101.87	$101.87	$326.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $695.63 / $1,070.08 / $2,110.60	Professional		$695.63	$1,070.08	$2,110.60
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,962.00 / $5,962.00 / $5,962.00	Facility		$5,962.00	$5,962.00	$5,962.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,919.68 / $1,919.68 / $3,398.32	Professional		$1,919.68	$1,919.68	$3,398.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $625.10 / $905.76 / $1,389.25	Professional		$625.10	$905.76	$1,389.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $21,278.00	Facility		$5,116.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $743.37 / $963.87 / $2,255.65	Professional		$743.37	$963.87	$2,255.65