Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,423.00 / $18,483.00	Facility		$1,539.00	$6,423.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.73 / $750.53 / $3,691.82	Professional		$585.73	$750.53	$3,691.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,445.81 / $1,445.81 / $1,445.81	Professional		$1,445.81	$1,445.81	$1,445.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,793.00 / $11,233.00	Facility		$1,196.00	$5,793.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.94 / $880.25 / $1,748.98	Professional		$668.94	$880.25	$1,748.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $19,707.12	Facility		$67.90	$100.00	$19,707.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $464.45 / $671.28 / $1,591.32	Professional		$464.45	$671.28	$1,591.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $1,766.05 / $5,231.85	Facility		$643.00	$1,766.05	$5,231.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.01 / $861.86 / $1,961.35	Professional		$601.01	$861.86	$1,961.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $441.18 / $807.97 / $1,090.76	Professional		$441.18	$807.97	$1,090.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $664.12 / $871.85 / $1,558.66	Professional		$664.12	$871.85	$1,558.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,874.20 / $7,929.30 / $26,542.00	Facility		$3,874.20	$7,929.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,066.64 / $5,181.28 / $5,884.28	Professional		$5,066.64	$5,181.28	$5,884.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $955.63	Professional		$32.34	$32.34	$955.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.74 / $852.55 / $1,292.17	Facility		$595.74	$852.55	$1,292.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.33 / $918.91 / $1,892.24	Professional		$607.33	$918.91	$1,892.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,290.71 / $2,290.71 / $2,290.71	Professional		$2,290.71	$2,290.71	$2,290.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $441.18 / $723.26 / $897.07	Professional		$441.18	$723.26	$897.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,181.00 / $7,218.00 / $15,471.00	Facility		$2,181.00	$7,218.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.07 / $748.14 / $1,723.69	Professional		$547.07	$748.14	$1,723.69