Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,903.30 / $8,837.00 / $18,630.00	Facility		$2,903.30	$8,837.00	$18,630.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.11 / $1,314.84 / $4,782.00	Professional		$910.11	$1,314.84	$4,782.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $925.17 / $1,024.78 / $1,795.01	Professional		$925.17	$1,024.78	$1,795.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,276.00 / $22,145.00	Facility		$3,738.00	$11,276.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.55 / $1,583.73 / $3,036.18	Professional		$1,136.55	$1,583.73	$3,036.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $12,872.00	Facility		$66.90	$100.00	$12,872.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $821.01 / $1,183.69 / $2,633.45	Professional		$821.01	$1,183.69	$2,633.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,906.96 / $12,348.83	Facility		$3,203.00	$6,906.96	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.58 / $1,343.62 / $2,888.63	Professional		$1,055.58	$1,343.62	$2,888.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $494.04 / $1,227.98 / $1,657.77	Professional		$494.04	$1,227.98	$1,657.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $984.78 / $1,385.04 / $2,481.60	Professional		$984.78	$1,385.04	$2,481.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,986.80 / $19,913.50 / $26,542.00	Facility		$5,986.80	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $242.33 / $1,887.52 / $1,887.52	Facility	AS	$242.33	$1,887.52	$1,887.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,718.96 / $7,887.28 / $9,162.98	Professional		$7,718.96	$7,887.28	$9,162.98
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 $1,113.08 / $1,398.39 / $1,954.77	Facility		$1,113.08	$1,398.39	$1,954.77
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $407.41 / $407.41 / $407.41	Facility	80	$407.41	$407.41	$407.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $120.27 / $120.27 / $346.30	Facility	AS	$120.27	$120.27	$346.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,059.48 / $1,391.93 / $2,849.14	Professional		$1,059.48	$1,391.93	$2,849.14
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $9,714.00 / $9,714.00 / $9,714.00	Facility		$9,714.00	$9,714.00	$9,714.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,472.12 / $3,472.12 / $3,472.12	Professional		$3,472.12	$3,472.12	$3,472.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $642.25 / $991.00 / $1,362.63	Professional		$642.25	$991.00	$1,362.63
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $834.57 / $1,112.76 / $2,365.84	Professional		$834.57	$1,112.76	$2,365.84