Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $7,079.46	Professional		$1,737.80	$2,041.74	$7,079.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,182.57 / $22,387.21	Facility		$7,244.36	$13,182.57	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $4,466.84	Professional		$1,819.70	$2,344.23	$4,466.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $4,897.79	Professional		$1,778.28	$2,570.40	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $4,365.16	Professional		$1,479.11	$2,344.23	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,454.71	Professional		$1,258.93	$1,905.46	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $4,570.88	Professional		$1,584.89	$1,905.46	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $15,488.17 / $15,488.17	Professional		$13,489.63	$15,488.17	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,801.89	Facility		$1,737.80	$2,344.23	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $4,677.35	Professional		$1,348.96	$2,344.23	$4,677.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,691.53	Professional		$1,548.82	$1,862.09	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,890.45	Professional		$1,513.56	$2,041.74	$3,890.45