Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,471.29 / $23,988.33	Facility		$4,677.35	$10,471.29	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $4,168.69	Professional		$1,000.00	$1,348.96	$4,168.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $5,888.44	Professional		$1,122.02	$1,122.02	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,548.13	Professional		$1,230.27	$1,698.24	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $14,125.38	Facility		$66.07	$5,495.41	$14,125.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $3,235.94	Professional		$954.99	$1,318.26	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,951.21 / $4,073.80	Facility		$707.95	$2,951.21	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $3,162.28	Professional		$1,023.29	$1,412.54	$3,162.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,584.89	Professional		$741.31	$1,174.90	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,454.71	Professional		$954.99	$1,230.27	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $11,748.98	Facility		$4,786.30	$4,786.30	$11,748.98
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility	54	$8,317.64	$8,317.64	$8,317.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $9,549.93 / $9,549.93	Professional		$8,511.38	$9,549.93	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,344.23	Facility		$1,096.48	$1,412.54	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,162.28	Professional		$1,023.29	$1,445.44	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,318.26	Professional		$741.31	$1,047.13	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $12,022.64 / $25,703.96	Facility		$6,025.60	$12,022.64	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,570.40	Professional		$933.25	$1,174.90	$2,570.40