Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,934.00 / $19,331.00	Facility		$2,421.00	$8,934.00	$19,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.84 / $1,441.74 / $7,041.77	Professional		$1,017.84	$1,441.74	$7,041.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,171.27 / $1,171.27 / $1,171.27	Professional		$1,171.27	$1,171.27	$1,171.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $9,256.00 / $18,544.00	Facility		$2,456.00	$9,256.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,145.74 / $1,660.78 / $3,236.94	Professional		$1,145.74	$1,660.78	$3,236.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,117.03	Facility		$66.00	$100.00	$11,117.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $881.10 / $1,273.31 / $2,933.19	Professional		$881.10	$1,273.31	$2,933.19
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 $1,127.30 / $1,538.57 / $3,558.55	Professional		$1,127.30	$1,538.57	$3,558.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $1,679.69 / $2,267.58	Professional		$910.65	$1,679.69	$2,267.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,304.73 / $1,737.51 / $3,259.00	Professional		$1,304.73	$1,737.51	$3,259.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,498.38 / $9,796.08 / $26,542.00	Facility		$7,498.38	$9,796.08	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,961.04 / $10,377.36 / $11,369.55	Professional		$9,961.04	$10,377.36	$11,369.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,403.01 / $1,769.77 / $2,519.40	Facility		$1,403.01	$1,769.77	$2,519.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,150.31 / $1,693.82 / $3,699.12	Professional		$1,150.31	$1,693.82	$3,699.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,369.27 / $4,369.27 / $4,369.27	Professional		$4,369.27	$4,369.27	$4,369.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,527.59 / $1,952.27	Professional		$1,148.40	$1,527.59	$1,952.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.21 / $1,313.20 / $3,267.11	Professional		$1,004.21	$1,313.20	$3,267.11