Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,681.25 / $10,004.00 / $22,788.00	Facility		$1,681.25	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.04 / $1,350.50 / $2,370.52	Professional		$279.04	$1,350.50	$2,370.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.37 / $226.37 / $226.37	Professional		$226.37	$226.37	$226.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,030.00 / $17,774.00	Facility		$3,294.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.34 / $2,230.46 / $4,862.84	Professional		$441.34	$2,230.46	$4,862.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $7,323.06	Facility		$65.80	$100.00	$7,323.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $1,117.52 / $2,672.62	Professional		$298.27	$1,117.52	$2,672.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,195.31 / $4,195.31 / $4,958.10	Facility		$4,195.31	$4,195.31	$4,958.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.08 / $1,185.16 / $3,015.46	Professional		$313.08	$1,185.16	$3,015.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $305.81 / $1,351.82 / $2,251.34	Professional		$305.81	$1,351.82	$2,251.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $928.05 / $2,251.34	Professional		$285.70	$928.05	$2,251.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,966.32 / $2,015.94	Facility		$55.00	$1,966.32	$2,015.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,803.78 / $9,169.20 / $10,808.03	Professional		$4,803.78	$9,169.20	$10,808.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.27 / $1,325.00 / $2,418.11	Facility		$314.27	$1,325.00	$2,418.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.52 / $1,021.44 / $3,146.55	Professional		$313.52	$1,021.44	$3,146.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $963.01 / $963.01 / $5,085.18	Professional		$963.01	$963.01	$5,085.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $1,351.82 / $2,027.73	Professional		$277.51	$1,351.82	$2,027.73
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,651.00 / $29,571.00	Facility		$6,385.00	$13,651.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.05 / $1,791.28 / $4,274.64	Professional		$1,202.05	$1,791.28	$4,274.64