Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.75 / $7,000.00 / $19,234.00	Facility		$1,615.75	$7,000.00	$19,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $632.87 / $2,310.36	Professional		$249.60	$632.87	$2,310.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.60 / $540.60 / $831.24	Professional		$355.60	$540.60	$831.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,447.00 / $18,544.00	Facility		$3,403.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.76 / $980.73 / $1,788.81	Professional		$655.76	$980.73	$1,788.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $9,078.39	Facility		$66.90	$100.00	$9,078.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $483.08 / $700.96 / $1,547.18	Professional		$483.08	$700.96	$1,547.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $5,554.45 / $25,197.00	Facility		$2,277.00	$5,554.45	$25,197.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.71 / $778.08 / $1,699.58	Professional		$612.71	$778.08	$1,699.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $444.15 / $699.72 / $944.62	Professional		$444.15	$699.72	$944.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $573.53 / $783.60 / $1,401.95	Professional		$573.53	$783.60	$1,401.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,346.32 / $8,957.00 / $26,542.00	Facility		$3,346.32	$8,957.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $136.09 / $849.00 / $849.00	Facility	AS	$136.09	$849.00	$849.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,528.97 / $4,528.97 / $5,128.50	Professional		$4,528.97	$4,528.97	$5,128.50
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 $635.41 / $813.87 / $1,349.15	Facility		$635.41	$813.87	$1,349.15
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $226.64 / $226.64 / $226.64	Facility	80	$226.64	$226.64	$226.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.26 / $67.26 / $192.64	Facility	AS	$67.26	$67.26	$192.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $612.71 / $804.24 / $1,633.87	Professional		$612.71	$804.24	$1,633.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,044.53 / $2,044.53 / $2,044.53	Professional		$2,044.53	$2,044.53	$2,044.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $564.83 / $666.23 / $840.17	Professional		$564.83	$666.23	$840.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,555.00 / $29,312.00	Facility		$7,212.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.92 / $653.22 / $1,396.84	Professional		$489.92	$653.22	$1,396.84