Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,422.37 / $2,422.37 / $23,262.40	Facility		$2,422.37	$2,422.37	$23,262.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,685.12 / $2,422.37 / $23,262.40	Professional		$1,685.12	$2,422.37	$23,262.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $595.34 / $595.34 / $595.34	Professional		$595.34	$595.34	$595.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,362.00 / $15,328.00	Facility		$2,696.00	$7,362.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.54 / $5,300.18 / $12,467.70	Professional		$636.54	$5,300.18	$12,467.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,062.37 / $7,651.34 / $13,848.16	Facility		$4,062.37	$7,651.34	$13,848.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $506.37 / $2,319.69 / $9,505.37	Professional		$506.37	$2,319.69	$9,505.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.72 / $950.03 / $6,731.87	Professional		$658.72	$950.03	$6,731.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.43 / $526.55 / $4,871.64	Professional		$389.43	$526.55	$4,871.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.96 / $1,848.00 / $4,871.64	Professional		$422.96	$1,848.00	$4,871.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,066.78 / $5,066.78	Facility		$55.00	$5,066.78	$5,066.78
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $210.52 / $403.98 / $403.98	Facility	53	$210.52	$403.98	$403.98
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $105.26 / $201.99 / $201.99	Facility	AS	$105.26	$201.99	$201.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,001.13 / $19,731.41 / $23,221.95	Professional		$11,001.13	$19,731.41	$23,221.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.04 / $1,044.61 / $5,232.51	Facility		$482.04	$1,044.61	$5,232.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.96 / $1,260.94 / $8,227.56	Professional		$422.96	$1,260.94	$8,227.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,409.58 / $1,409.58 / $11,591.80	Professional		$1,409.58	$1,409.58	$11,591.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $389.43 / $506.25 / $4,012.05	Professional		$389.43	$506.25	$4,012.05
United Facility/Professional Facility Modifier Low / Median / High Price $6,377.96 / $6,377.96 / $6,377.96	Facility		$6,377.96	$6,377.96	$6,377.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,929.48 / $4,448.32 / $10,543.97	Professional		$2,929.48	$4,448.32	$10,543.97