Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.47 / $5,980.00 / $16,713.00	Facility		$1,594.47	$5,980.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.01 / $1,447.47 / $2,474.51	Professional		$329.01	$1,447.47	$2,474.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.97 / $536.79 / $1,275.44	Professional		$330.97	$536.79	$1,275.44
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 $482.98 / $1,533.19 / $4,462.42	Professional		$482.98	$1,533.19	$4,462.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $3,519.46 / $9,057.60	Facility		$95.50	$3,519.46	$9,057.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $360.25 / $1,196.90 / $2,974.99	Professional		$360.25	$1,196.90	$2,974.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.94 / $597.94 / $597.94	Facility		$597.94	$597.94	$597.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.33 / $1,090.56 / $3,076.25	Professional		$384.33	$1,090.56	$3,076.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $296.72 / $451.48 / $2,303.15	Professional		$296.72	$451.48	$2,303.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $971.24 / $2,207.69	Professional		$332.39	$971.24	$2,207.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,344.67 / $2,407.02	Facility		$55.00	$2,344.67	$2,407.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,042.29 / $9,453.68 / $11,253.68	Professional		$5,042.29	$9,453.68	$11,253.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,128.04	Professional		$32.34	$32.34	$1,128.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.72 / $1,157.99 / $2,327.12	Facility		$373.72	$1,157.99	$2,327.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.94 / $1,158.14 / $3,500.72	Professional		$402.94	$1,158.14	$3,500.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,141.16 / $1,141.16 / $5,033.72	Professional		$1,141.16	$1,141.16	$5,033.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $291.01 / $415.41 / $1,896.17	Professional		$291.01	$415.41	$1,896.17
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 $1,241.50 / $1,928.11 / $4,361.78	Professional		$1,241.50	$1,928.11	$4,361.78