Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.91 / $6,423.00 / $17,902.00	Facility		$943.91	$6,423.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.82 / $834.96 / $2,185.10	Professional		$316.82	$834.96	$2,185.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,706.79 / $1,706.79 / $1,706.79	Professional		$1,706.79	$1,706.79	$1,706.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.93 / $511.19 / $1,190.67	Professional		$383.93	$511.19	$1,190.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $332.77 / $686.04 / $1,412.14	Professional		$332.77	$686.04	$1,412.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.86 / $843.79 / $2,434.55	Professional		$346.86	$843.79	$2,434.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $558.59 / $1,634.57	Professional		$227.10	$558.59	$1,634.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.47 / $1,000.69 / $1,779.34	Professional		$443.47	$1,000.69	$1,779.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,819.04 / $2,934.06 / $26,542.00	Facility		$2,819.04	$2,934.06	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,581.36 / $6,860.64 / $8,086.28	Professional		$3,581.36	$6,860.64	$8,086.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.76 / $615.54 / $1,572.26	Facility		$226.76	$615.54	$1,572.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.86 / $858.46 / $2,412.55	Professional		$346.86	$858.46	$2,412.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,097.64 / $1,097.64 / $3,141.30	Professional		$1,097.64	$1,097.64	$3,141.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.39 / $438.37 / $1,398.06	Professional		$286.39	$438.37	$1,398.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,213.00 / $10,979.00	Facility		$2,230.00	$4,213.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.22 / $1,058.80 / $2,903.94	Professional		$688.22	$1,058.80	$2,903.94