Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.41 / $6,436.00 / $16,935.00	Facility		$1,614.41	$6,436.00	$16,935.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.89 / $741.31 / $2,799.00	Professional		$369.89	$741.31	$2,799.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,146.71 / $1,146.71 / $1,146.71	Professional		$1,146.71	$1,146.71	$1,146.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,491.00 / $10,324.00 / $21,336.00	Facility		$3,491.00	$10,324.00	$21,336.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.05 / $955.59 / $1,872.43	Professional		$703.05	$955.59	$1,872.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $9,416.95	Facility		$66.70	$100.00	$9,416.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $577.14 / $1,419.50	Professional		$366.14	$577.14	$1,419.50
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 $560.00 / $819.22 / $2,366.57	Professional		$560.00	$819.22	$2,366.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $820.44 / $1,107.58	Professional		$372.30	$820.44	$1,107.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.97 / $902.48 / $1,604.79	Professional		$689.97	$902.48	$1,604.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,704.10 / $7,909.30 / $26,542.00	Facility		$3,704.10	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,932.42 / $5,932.42 / $5,932.42	Professional		$5,932.42	$5,932.42	$5,932.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $601.29 / $864.24 / $1,325.82	Facility		$601.29	$864.24	$1,325.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $829.63 / $1,902.39	Professional		$560.00	$829.63	$1,902.39
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,239.00 / $4,239.00 / $4,239.00	Facility		$4,239.00	$4,239.00	$4,239.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,128.27 / $2,128.27 / $2,128.27	Professional		$2,128.27	$2,128.27	$2,128.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $657.30 / $911.50	Professional		$372.30	$657.30	$911.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,106.00 / $16,148.00	Facility		$3,698.00	$7,106.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.88 / $726.22 / $2,142.17	Professional		$497.88	$726.22	$2,142.17