Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $6,423.00 / $17,030.00	Facility		$1,038.00	$6,423.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.41 / $717.36 / $1,625.78	Professional		$264.41	$717.36	$1,625.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.02 / $211.02 / $746.18	Professional		$211.02	$211.02	$746.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,707.00	Facility		$2,143.00	$5,944.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.82 / $1,059.32 / $2,014.84	Professional		$391.82	$1,059.32	$2,014.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.53	Facility		$66.00	$100.00	$5,487.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $307.97 / $732.12 / $1,577.72	Professional		$307.97	$732.12	$1,577.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.69 / $750.57 / $1,717.08	Professional		$284.69	$750.57	$1,717.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $311.87 / $1,367.98	Professional		$135.52	$311.87	$1,367.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.70 / $672.64 / $1,343.13	Professional		$255.70	$672.64	$1,343.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,458.26 / $1,486.75 / $16,394.00	Facility		$1,458.26	$1,486.75	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $65.25 / $125.30 / $125.30	Facility	AS	$65.25	$125.30	$125.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,961.07 / $5,647.28 / $6,632.48	Professional		$2,961.07	$5,647.28	$6,632.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $760.06 / $1,331.33	Facility		$294.00	$760.06	$1,331.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.99 / $735.14 / $1,759.11	Professional		$286.99	$735.14	$1,759.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $851.26 / $851.26 / $2,729.03	Professional		$851.26	$851.26	$2,729.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $243.93 / $1,126.51	Professional		$135.52	$243.93	$1,126.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,840.10 / $9,810.00 / $23,219.00	Facility		$4,840.10	$9,810.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.42 / $974.65 / $2,658.07	Professional		$655.42	$974.65	$2,658.07