Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,668.00 / $17,902.00	Facility		$1,992.00	$7,668.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.78 / $1,118.41 / $6,597.65	Professional		$981.78	$1,118.41	$6,597.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,229.41 / $1,229.41 / $1,229.41	Professional		$1,229.41	$1,229.41	$1,229.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $9,596.00 / $19,252.00	Facility		$3,765.00	$9,596.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,080.33 / $1,526.31 / $3,071.11	Professional		$1,080.33	$1,526.31	$3,071.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,642.94	Facility		$66.00	$100.00	$12,642.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $848.42 / $1,227.41 / $2,820.01	Professional		$848.42	$1,227.41	$2,820.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $2,256.40 / $3,075.60	Facility		$705.31	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.53 / $1,469.70 / $3,417.10	Professional		$1,078.53	$1,469.70	$3,417.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $502.23 / $1,529.62 / $2,064.98	Professional		$502.23	$1,529.62	$2,064.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,189.90 / $1,585.14 / $2,986.61	Professional		$1,189.90	$1,585.14	$2,986.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,848.40 / $11,500.00 / $26,542.00	Facility		$6,848.40	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,100.40 / $9,483.12 / $10,377.83	Professional		$9,100.40	$9,483.12	$10,377.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,289.46 / $1,615.70 / $2,239.96	Facility		$1,289.46	$1,615.70	$2,239.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,100.65 / $1,589.71 / $3,504.70	Professional		$1,100.65	$1,589.71	$3,504.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,093.72 / $4,093.72 / $4,093.72	Professional		$4,093.72	$4,093.72	$4,093.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $633.36 / $904.02 / $1,700.22	Professional		$633.36	$904.02	$1,700.22
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 $955.26 / $1,225.35 / $3,028.26	Professional		$955.26	$1,225.35	$3,028.26