Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $4,168.69	Professional		$616.60	$776.25	$4,168.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $2,187.76	Professional		$691.83	$954.99	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,715.35 / $8,912.51	Facility		$66.07	$3,715.35	$8,912.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,995.26	Professional		$691.83	$1,000.00	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Facility		$1,778.28	$1,778.28	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,862.09	Professional		$616.60	$851.14	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,000.00	Professional		$426.58	$645.65	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,445.44	Professional		$616.60	$812.83	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,754.40 / $5,754.40	Professional		$5,011.87	$5,754.40	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,380.38	Facility		$676.08	$891.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,862.09	Professional		$588.84	$851.14	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $912.01	Professional		$537.03	$691.83	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,995.26	Professional		$549.54	$776.25	$1,995.26