Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.60 / $5,812.00 / $16,713.00	Facility		$1,220.60	$5,812.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.48 / $704.95 / $1,755.26	Professional		$212.48	$704.95	$1,755.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $195.10 / $195.10	Professional		$195.10	$195.10	$195.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,663.00 / $7,070.00 / $14,103.00	Facility		$2,663.00	$7,070.00	$14,103.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $890.65 / $2,492.36	Professional		$322.95	$890.65	$2,492.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $238.33 / $766.24 / $1,938.59	Professional		$238.33	$766.24	$1,938.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.66 / $359.66 / $359.66	Facility		$359.66	$359.66	$359.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.05 / $638.11 / $2,185.41	Professional		$243.05	$638.11	$2,185.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $272.69 / $1,760.09	Professional		$180.19	$272.69	$1,760.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.99 / $727.42 / $1,672.50	Professional		$202.99	$727.42	$1,672.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.60 / $1,835.31 / $8,980.00	Facility		$1,449.60	$1,835.31	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,726.71 / $7,125.20 / $8,405.10	Professional		$3,726.71	$7,125.20	$8,405.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $832.64	Professional		$32.34	$32.34	$832.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.61 / $438.27 / $1,792.86	Facility		$240.61	$438.27	$1,792.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.20 / $644.80 / $2,587.42	Professional		$250.20	$644.80	$2,587.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $686.00 / $3,642.09	Professional		$686.00	$686.00	$3,642.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $295.41 / $1,449.61	Professional		$180.50	$295.41	$1,449.61
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,533.00 / $6,323.00	Facility		$587.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $875.81 / $1,319.77 / $3,301.89	Professional		$875.81	$1,319.77	$3,301.89