Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,774.00 / $19,368.00	Facility		$2,197.85	$8,774.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.96 / $836.69 / $1,942.94	Professional		$678.96	$836.69	$1,942.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $531.27 / $534.16 / $1,002.86	Professional		$531.27	$534.16	$1,002.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,484.00 / $17,774.00	Facility		$2,275.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.62 / $1,119.81 / $2,253.16	Professional		$792.62	$1,119.81	$2,253.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $638.26 / $922.08 / $2,100.69	Professional		$638.26	$922.08	$2,100.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $1,058.71 / $1,058.71	Professional		$1,058.71	$1,058.71	$1,058.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $313.48 / $716.16 / $966.82	Professional		$313.48	$716.16	$966.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $744.26 / $1,401.36	Professional		$558.46	$744.26	$1,401.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,758.86 / $11,500.00 / $26,542.00	Facility		$3,758.86	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,493.22 / $4,641.50 / $4,877.33	Professional		$4,493.22	$4,641.50	$4,877.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $697.68 / $933.67 / $1,361.74	Facility		$697.68	$933.67	$1,361.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.41 / $1,261.44 / $1,840.15	Professional		$601.41	$1,261.44	$1,840.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,194.00 / $2,194.00 / $2,194.00	Professional		$2,194.00	$2,194.00	$2,194.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $395.32 / $564.26 / $796.00	Professional		$395.32	$564.26	$796.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,758.00 / $21,278.00	Facility		$4,509.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.52 / $732.97 / $1,714.50	Professional		$527.52	$732.97	$1,714.50