Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.57 / $6,626.00 / $18,681.00	Facility		$1,265.57	$6,626.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $939.78 / $3,981.00	Professional		$212.75	$939.78	$3,981.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $206.44 / $206.44	Professional		$206.44	$206.44	$206.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $8,905.00 / $17,774.00	Facility		$3,242.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.12 / $3,661.29 / $8,326.62	Professional		$361.12	$3,661.29	$8,326.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,767.90	Facility		$66.00	$100.00	$7,767.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $226.35 / $928.13 / $4,807.76	Professional		$226.35	$928.13	$4,807.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.78 / $2,078.16 / $5,143.45	Professional		$245.78	$2,078.16	$5,143.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $251.80 / $3,058.42	Professional		$196.20	$251.80	$3,058.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.90 / $1,308.00 / $3,440.72	Professional		$212.90	$1,308.00	$3,440.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,465.56 / $3,478.83	Facility		$55.00	$1,465.56	$3,478.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,334.07 / $13,741.47 / $16,089.23	Professional		$7,334.07	$13,741.47	$16,089.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.19 / $600.29 / $3,741.09	Facility		$234.19	$600.29	$3,741.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.83 / $957.43 / $5,428.01	Professional		$248.83	$957.43	$5,428.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $723.29 / $723.29 / $8,124.94	Professional		$723.29	$723.29	$8,124.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $255.06 / $2,834.45	Professional		$196.20	$255.06	$2,834.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,973.46 / $3,099.94 / $6,995.81	Professional		$1,973.46	$3,099.94	$6,995.81