Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,847.55 / $10,070.00 / $22,788.00	Facility		$1,847.55	$10,070.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.91 / $1,854.29 / $9,706.12	Professional		$1,574.91	$1,854.29	$9,706.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,996.72 / $2,996.72 / $2,996.72	Professional		$2,996.72	$2,996.72	$2,996.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,409.35 / $2,186.23 / $4,717.26	Professional		$1,409.35	$2,186.23	$4,717.26
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 $1,282.02 / $1,854.19 / $4,359.77	Professional		$1,282.02	$1,854.19	$4,359.77
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 $1,623.18 / $2,282.19 / $5,025.29	Professional		$1,623.18	$2,282.19	$5,025.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $548.03 / $829.32 / $2,600.40	Professional		$548.03	$829.32	$2,600.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,707.27 / $2,224.75 / $4,093.54	Professional		$1,707.27	$2,224.75	$4,093.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,900.40 / $17,300.64	Facility		$55.00	$16,900.40	$17,300.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,233.20 / $13,541.44 / $16,200.90	Professional		$13,233.20	$13,541.44	$16,200.90
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 $1,510.60 / $2,208.00 / $3,130.00	Facility		$1,510.60	$2,208.00	$3,130.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,646.20 / $2,409.85 / $5,025.29	Professional		$1,646.20	$2,409.85	$5,025.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,022.48 / $6,022.48 / $6,022.48	Professional		$6,022.48	$6,022.48	$6,022.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.03 / $986.45 / $2,216.15	Professional		$548.03	$986.45	$2,216.15
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 $1,489.51 / $2,036.12 / $4,483.93	Professional		$1,489.51	$2,036.12	$4,483.93