Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $9,549.93 / $23,988.33	Facility		$3,548.13	$9,549.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $5,248.07	Professional		$912.01	$1,258.93	$5,248.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,398.83	Professional		$1,000.00	$1,000.00	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $3,467.37	Professional		$1,096.48	$1,584.89	$3,467.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,466.84 / $22,908.68	Facility		$66.07	$4,466.84	$22,908.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,884.03	Professional		$1,000.00	$1,445.44	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,630.27	Professional		$870.96	$1,230.27	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,445.44	Professional		$707.95	$1,071.52	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,187.76	Professional		$912.01	$1,202.26	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $50,118.72 / $50,118.72	Facility		$16,595.87	$50,118.72	$50,118.72
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility	52	$13,182.57	$13,182.57	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,511.38 / $8,511.38	Professional		$7,585.78	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,137.96	Facility		$1,000.00	$1,288.25	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $2,691.53	Professional		$812.83	$1,230.27	$2,691.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,513.56	Professional		$891.25	$1,047.13	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $2,884.03	Professional		$794.33	$1,096.48	$2,884.03