Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,632.00 / $77,160.00	Facility		$1,000.00	$1,632.00	$77,160.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.09 / $1,000.00 / $44,592.00	Professional		$998.09	$1,000.00	$44,592.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $4,800.00	Professional		$4,800.00	$4,800.00	$4,800.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $8,259.36 / $26,268.97	Facility		$614.00	$8,259.36	$26,268.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,756.02 / $4,800.00 / $12,000.00	Professional		$2,756.02	$4,800.00	$12,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $8,676.00 / $33,840.00	Facility		$92.60	$8,676.00	$33,840.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5,460.00 / $7,800.00 / $19,503.90	Professional		$5,460.00	$7,800.00	$19,503.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.62 / $15,756.00 / $38,688.00	Facility		$6,185.62	$15,756.00	$38,688.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,680.24 / $7,974.06 / $22,598.29	Professional		$1,680.24	$7,974.06	$22,598.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12,000.00 / $13,200.00 / $19,200.00	Professional		$12,000.00	$13,200.00	$19,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,600.00 / $13,200.00 / $21,000.00	Professional		$9,600.00	$13,200.00	$21,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,200.00 / $57,000.00 / $57,000.00	Facility		$19,200.00	$57,000.00	$57,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60,000.00 / $60,000.00 / $90,000.00	Professional		$60,000.00	$60,000.00	$90,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,000.00 / $6,000.00 / $8,400.00	Professional		$6,000.00	$6,000.00	$8,400.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $12,000.00 / $28,655.77	Facility		$1,200.00	$12,000.00	$28,655.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,056.09 / $12,240.00 / $23,180.57	Professional		$7,056.09	$12,240.00	$23,180.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42,120.00 / $42,120.00 / $42,120.00	Professional		$42,120.00	$42,120.00	$42,120.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $3,750.00	Facility		$3,750.00	$3,750.00	$3,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $5,040.00 / $21,790.80	Professional		$5,040.00	$5,040.00	$21,790.80