Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,858.00 / $19,331.00	Facility		$2,616.00	$8,858.00	$19,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.45 / $1,536.18 / $7,336.59	Professional		$1,051.45	$1,536.18	$7,336.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,253.88 / $1,253.88 / $1,253.88	Professional		$1,253.88	$1,253.88	$1,253.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $9,256.00 / $18,544.00	Facility		$2,400.00	$9,256.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.01 / $1,724.32 / $3,558.63	Professional		$929.01	$1,724.32	$3,558.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,002.37	Facility		$66.00	$100.00	$11,002.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $947.63 / $1,374.67 / $3,063.04	Professional		$947.63	$1,374.67	$3,063.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.88 / $2,256.40 / $3,075.60	Facility		$802.88	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.45 / $1,641.12 / $3,713.26	Professional		$1,195.45	$1,641.12	$3,713.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,617.33 / $1,940.80 / $2,225.11	Professional		$1,617.33	$1,940.80	$2,225.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,282.42 / $1,667.66 / $3,525.78	Professional		$1,282.42	$1,667.66	$3,525.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,772.19 / $11,319.35 / $26,542.00	Facility		$8,772.19	$11,319.35	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,031.04 / $10,337.76 / $11,306.40	Professional		$10,031.04	$10,337.76	$11,306.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,435.10 / $1,798.35 / $2,435.05	Facility		$1,435.10	$1,798.35	$2,435.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,255.22 / $1,782.86 / $3,824.26	Professional		$1,255.22	$1,782.86	$3,824.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,552.20 / $4,552.20 / $4,552.20	Professional		$4,552.20	$4,552.20	$4,552.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,307.08 / $1,470.47 / $1,797.25	Professional		$1,307.08	$1,470.47	$1,797.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,758.00 / $21,278.00	Facility		$4,331.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.07 / $1,379.35 / $3,418.93	Professional		$1,064.07	$1,379.35	$3,418.93