Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.77 / $5,980.00 / $16,713.00	Facility		$1,439.77	$5,980.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.65 / $1,315.43 / $2,191.59	Professional		$252.65	$1,315.43	$2,191.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $529.03 / $529.03 / $529.03	Professional		$529.03	$529.03	$529.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,399.00	Facility		$2,696.00	$7,166.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.91 / $1,299.80 / $3,949.64	Professional		$370.91	$1,299.80	$3,949.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $3,519.46 / $9,057.60	Facility		$96.60	$3,519.46	$9,057.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $983.61 / $2,719.76	Professional		$276.61	$983.61	$2,719.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $428.65	Facility		$428.65	$428.65	$428.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.52 / $1,108.73 / $2,786.93	Professional		$288.52	$1,108.73	$2,786.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $227.85 / $341.78 / $2,153.42	Professional		$227.85	$341.78	$2,153.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $887.24 / $2,047.71	Professional		$238.66	$887.24	$2,047.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,049.17 / $2,258.37	Facility		$55.00	$2,049.17	$2,258.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,585.76 / $8,723.92 / $10,323.75	Professional		$4,585.76	$8,723.92	$10,323.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,033.26	Professional		$32.34	$32.34	$1,033.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.89 / $1,029.53 / $2,152.56	Facility		$267.89	$1,029.53	$2,152.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.57 / $1,179.67 / $3,215.12	Professional		$303.57	$1,179.67	$3,215.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $828.90 / $828.90 / $4,705.84	Professional		$828.90	$828.90	$4,705.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $209.17 / $318.99 / $1,773.42	Professional		$209.17	$318.99	$1,773.42
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $10,001.00 / $23,219.00	Facility		$5,670.00	$10,001.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.04 / $1,736.27 / $3,848.46	Professional		$1,153.04	$1,736.27	$3,848.46