Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,948.20 / $10,202.20 / $22,788.00	Facility		$1,948.20	$10,202.20	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.15 / $1,951.91 / $10,202.20	Professional		$1,667.15	$1,951.91	$10,202.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,595.14 / $1,595.14 / $1,595.14	Professional		$1,595.14	$1,595.14	$1,595.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $9,771.00 / $21,405.00	Facility		$2,873.70	$9,771.00	$21,405.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,906.22 / $2,459.02 / $4,948.58	Professional		$1,906.22	$2,459.02	$4,948.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,349.95 / $1,971.03 / $4,615.47	Professional		$1,349.95	$1,971.03	$4,615.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,736.32 / $2,410.37 / $5,346.93	Professional		$1,736.32	$2,410.37	$5,346.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.25 / $1,642.31 / $2,728.61	Professional		$1,085.25	$1,642.31	$2,728.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,794.53 / $2,339.23 / $4,304.20	Professional		$1,794.53	$2,339.23	$4,304.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,791.12 / $18,209.43	Facility		$55.00	$17,791.12	$18,209.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,931.28 / $14,252.48 / $17,061.30	Professional		$13,931.28	$14,252.48	$17,061.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,871.39 / $2,392.69 / $3,289.97	Facility		$1,871.39	$2,392.69	$3,289.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,757.21 / $2,525.59 / $5,247.69	Professional		$1,757.21	$2,525.59	$5,247.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,330.26 / $6,330.26 / $6,330.26	Professional		$6,330.26	$6,330.26	$6,330.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,085.25 / $1,844.93 / $2,325.27	Professional		$1,085.25	$1,844.93	$2,325.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.13 / $2,144.44 / $4,707.02	Professional		$1,590.13	$2,144.44	$4,707.02