Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $25,703.96	Facility		$4,168.69	$10,471.29	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,818.38	Professional		$1,071.52	$1,230.27	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,023.29	Professional		$954.99	$954.99	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,801.89	Professional		$1,348.96	$1,862.09	$3,801.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $10,715.19	Facility		$66.07	$4,168.69	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $3,388.44	Professional		$1,023.29	$1,380.38	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $4,073.80	Facility		$707.95	$2,238.72	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $3,090.30	Professional		$1,047.13	$1,479.11	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,548.82	Professional		$831.76	$1,230.27	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,344.23	Professional		$912.01	$1,174.90	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,511.89	Facility		$1,047.13	$1,412.54	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,090.30	Professional		$1,047.13	$1,513.56	$3,090.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,778.28	Professional		$933.25	$1,230.27	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $12,022.64 / $25,703.96	Facility		$6,309.57	$12,022.64	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,570.40	Professional		$912.01	$1,174.90	$2,570.40