Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,792.02 / $30,735.40	Facility		$1,000.00	$3,792.02	$30,735.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,000.00 / $17,762.50	Professional		$1,000.00	$3,000.00	$17,762.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,912.00 / $1,912.00 / $1,912.00	Professional		$1,912.00	$1,912.00	$1,912.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $8,259.36 / $23,565.40	Facility		$614.00	$8,259.36	$23,565.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,912.00 / $2,893.82 / $7,170.00	Professional		$1,912.00	$2,893.82	$7,170.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $3,455.94 / $13,479.60	Facility		$92.60	$3,455.94	$13,479.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,174.90 / $3,107.00 / $7,769.05	Professional		$2,174.90	$3,107.00	$7,769.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.90 / $6,276.14 / $15,410.72	Facility		$3,297.90	$6,276.14	$15,410.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,912.00 / $3,728.28 / $9,187.50	Professional		$1,912.00	$3,728.28	$9,187.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,258.00 / $7,648.00	Professional		$4,780.00	$5,258.00	$7,648.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $5,258.00 / $9,129.79	Professional		$3,824.00	$5,258.00	$9,129.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,648.00 / $22,705.00 / $22,705.00	Facility		$7,648.00	$22,705.00	$22,705.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,900.00 / $23,900.00 / $35,850.00	Professional		$23,900.00	$23,900.00	$35,850.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,390.00 / $2,390.00 / $3,346.00	Professional		$2,390.00	$2,390.00	$3,346.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,760.00 / $4,846.92 / $11,414.26	Facility		$2,760.00	$4,846.92	$11,414.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,868.00 / $4,875.60 / $9,233.54	Professional		$2,868.00	$4,875.60	$9,233.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16,777.80 / $16,777.80 / $16,777.80	Professional		$16,777.80	$16,777.80	$16,777.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Facility		$4,780.00	$4,780.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,007.60 / $8,061.52	Professional		$2,007.60	$2,007.60	$8,061.52