Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,639.00 / $19,860.00	Facility		$2,421.00	$9,639.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.60 / $566.71 / $893.91	Professional		$518.60	$566.71	$893.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $576.89 / $576.89 / $629.32	Professional		$576.89	$576.89	$629.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $11,570.00 / $22,864.00	Facility		$2,456.00	$11,570.00	$22,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.23 / $724.93 / $1,569.54	Professional		$622.23	$724.93	$1,569.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,407.14	Facility		$66.00	$100.00	$11,407.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $560.74 / $801.05 / $1,531.85	Professional		$560.74	$801.05	$1,531.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $2,977.65 / $4,058.71	Facility		$705.31	$2,977.65	$4,058.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.99 / $784.55 / $1,835.20	Professional		$549.99	$784.55	$1,835.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,936.36 / $2,936.36 / $3,083.18	Professional		$2,936.36	$2,936.36	$3,083.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.72 / $897.14 / $1,749.00	Professional		$683.72	$897.14	$1,749.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,312.00 / $11,879.05	Facility		$55.00	$3,312.00	$11,879.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,096.16 / $5,253.52 / $6,105.83	Professional		$5,096.16	$5,253.52	$6,105.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.45 / $939.68 / $1,213.21	Facility		$732.45	$939.68	$1,213.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $543.14 / $801.05 / $1,663.82	Professional		$543.14	$801.05	$1,663.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $697.70 / $784.92 / $959.34	Professional		$697.70	$784.92	$959.34
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,186.00 / $26,109.00	Facility		$5,416.00	$12,186.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.02 / $701.47 / $1,535.54	Professional		$549.02	$701.47	$1,535.54