Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $8,638.76 / $17,701.00	Facility		$2,700.00	$8,638.76	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.72 / $693.83 / $2,302.00	Professional		$486.72	$693.83	$2,302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.79 / $318.79 / $318.79	Professional		$318.79	$318.79	$318.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.72 / $835.42 / $1,502.51	Professional		$636.72	$835.42	$1,502.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,739.33	Facility		$66.70	$100.00	$8,739.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $421.10 / $645.92 / $1,464.45	Professional		$421.10	$645.92	$1,464.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.99 / $600.15 / $1,673.42	Professional		$416.99	$600.15	$1,673.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.53 / $385.49 / $570.79	Professional		$380.53	$385.49	$570.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.94 / $444.98 / $811.12	Professional		$346.94	$444.98	$811.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,646.95 / $12,623.50 / $26,542.00	Facility		$1,646.95	$12,623.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,725.84 / $7,725.84 / $7,725.84	Professional		$7,725.84	$7,725.84	$7,725.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.75 / $552.33 / $951.29	Facility		$410.75	$552.33	$951.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.11 / $616.30 / $1,339.09	Professional		$425.11	$616.30	$1,339.09
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $6,426.00 / $6,426.00 / $6,426.00	Facility		$6,426.00	$6,426.00	$6,426.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,168.97 / $1,168.97 / $1,168.97	Professional		$1,168.97	$1,168.97	$1,168.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $349.83 / $427.57 / $646.90	Professional		$349.83	$427.57	$646.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $22,073.00	Facility		$5,116.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.44 / $484.76 / $1,310.82	Professional		$293.44	$484.76	$1,310.82