Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $38,904.51 / $75,857.76	Facility		$4,466.84	$38,904.51	$75,857.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $5,128.61	Professional		$870.96	$1,548.82	$5,128.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $17,378.01 / $36,307.81	Facility		$11,748.98	$17,378.01	$36,307.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $3,019.95	Professional		$954.99	$1,513.56	$3,019.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $1,096.48 / $3,715.35	Facility		$58.88	$1,096.48	$3,715.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,778.28	Professional		$446.68	$660.69	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32,359.37 / $41,686.94 / $53,703.18	Facility		$32,359.37	$41,686.94	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,511.89	Professional		$812.83	$1,202.26	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,318.26	Professional		$537.03	$794.33	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,344.23	Professional		$933.25	$1,230.27	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	AS	$933.25	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $9,120.11 / $9,120.11	Professional		$7,079.46	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,344.23	Facility		$1,000.00	$1,288.25	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $2,570.40	Professional		$776.25	$1,202.26	$2,570.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $1,000.00	Professional		$537.03	$891.25	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,818.38	Professional		$794.33	$1,122.02	$2,818.38