Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,217.54 / $10,615.43 / $23,377.00	Facility		$2,217.54	$10,615.43	$23,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.73 / $1,753.53 / $3,656.88	Professional		$381.73	$1,753.53	$3,656.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $600.61 / $600.61 / $600.61	Professional		$600.61	$600.61	$600.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,697.00	Facility		$2,143.00	$6,048.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.41 / $3,334.50 / $6,404.69	Professional		$654.41	$3,334.50	$6,404.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,671.96	Facility		$66.00	$100.00	$8,671.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $404.06 / $1,587.29 / $4,514.68	Professional		$404.06	$1,587.29	$4,514.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,854.17 / $9,854.17 / $11,645.84	Facility		$9,854.17	$9,854.17	$11,645.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.73 / $1,559.06 / $4,249.06	Professional		$418.73	$1,559.06	$4,249.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $405.91 / $2,489.80 / $4,852.97	Professional		$405.91	$2,489.80	$4,852.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.50 / $1,217.73 / $2,802.40	Professional		$379.50	$1,217.73	$2,802.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,664.12 / $2,962.57	Facility		$55.00	$2,664.12	$2,962.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,015.67 / $14,010.86 / $16,091.76	Professional		$6,015.67	$14,010.86	$16,091.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.03 / $1,747.10 / $3,687.80	Facility		$439.03	$1,747.10	$3,687.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.52 / $1,281.57 / $4,797.99	Professional		$424.52	$1,281.57	$4,797.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,269.30 / $1,269.30 / $6,515.49	Professional		$1,269.30	$1,269.30	$6,515.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $376.92 / $2,565.52 / $4,852.99	Professional		$376.92	$2,565.52	$4,852.99
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,596.46 / $2,507.73 / $5,897.72	Professional		$1,596.46	$2,507.73	$5,897.72