Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,815.31 / $5,823.00 / $16,713.00	Facility		$1,815.31	$5,823.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.29 / $1,610.54 / $3,167.98	Professional		$317.29	$1,610.54	$3,167.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $156.83 / $156.83	Professional		$136.26	$156.83	$156.83
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 $440.89 / $1,223.74 / $4,438.75	Professional		$440.89	$1,223.74	$4,438.75
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 $373.38 / $1,390.64 / $4,359.03	Professional		$373.38	$1,390.64	$4,359.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $569.66	Facility		$569.66	$569.66	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.98 / $1,219.83 / $3,868.88	Professional		$338.98	$1,219.83	$3,868.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $262.83 / $411.62 / $3,175.27	Professional		$262.83	$411.62	$3,175.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.11 / $1,304.63 / $3,010.01	Professional		$316.11	$1,304.63	$3,010.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,902.82 / $2,902.82 / $8,980.00	Facility		$2,902.82	$2,902.82	$8,980.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,726.24 / $13,089.20 / $15,225.60	Professional		$6,726.24	$13,089.20	$15,225.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,459.19	Professional		$32.34	$32.34	$1,459.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.28 / $705.00 / $3,227.34	Facility		$356.28	$705.00	$3,227.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.17 / $1,564.59 / $4,488.33	Professional		$346.17	$1,564.59	$4,488.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,045.68 / $1,045.68 / $6,385.64	Professional		$1,045.68	$1,045.68	$6,385.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $276.30 / $430.91 / $2,614.77	Professional		$276.30	$430.91	$2,614.77
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,510.38 / $2,319.42 / $4,902.59	Professional		$1,510.38	$2,319.42	$4,902.59