Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,369.29 / $2,369.29 / $15,175.80	Facility		$2,369.29	$2,369.29	$15,175.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,814.78 / $2,369.29 / $15,175.80	Professional		$1,814.78	$2,369.29	$15,175.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,207.83 / $4,207.83 / $4,207.83	Professional		$4,207.83	$4,207.83	$4,207.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,799.18 / $7,412.10 / $16,696.15	Facility		$1,799.18	$7,412.10	$16,696.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,103.94 / $2,859.80 / $4,010.97	Professional		$2,103.94	$2,859.80	$4,010.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $6,227.11 / $11,119.85	Facility		$97.00	$6,227.11	$11,119.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,978.85 / $16,256.06	Professional		$100.00	$6,978.85	$16,256.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.11 / $2,481.10 / $2,811.55	Facility		$2,460.11	$2,481.10	$2,811.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $1,811.20 / $2,909.47	Professional		$1,811.20	$1,811.20	$2,909.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,811.55 / $3,373.86 / $5,785.77	Professional		$2,811.55	$3,373.86	$5,785.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,155.87 / $3,681.85 / $7,994.88	Professional		$3,155.87	$3,681.85	$7,994.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,551.78 / $20,983.29 / $24,984.00	Facility		$8,551.78	$20,983.29	$24,984.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,681.22 / $27,321.57 / $29,586.30	Professional		$26,681.22	$27,321.57	$29,586.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,467.24 / $9,467.24 / $9,467.24	Professional		$9,467.24	$9,467.24	$9,467.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,270.53 / $4,568.77 / $5,259.79	Facility		$1,270.53	$4,568.77	$5,259.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $2,481.10 / $4,944.31	Professional		$1,811.20	$2,481.10	$4,944.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,927.66 / $9,927.66 / $9,927.66	Professional		$9,927.66	$9,927.66	$9,927.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,811.55 / $4,207.83 / $4,217.33	Professional		$2,811.55	$4,207.83	$4,217.33
United Facility/Professional Facility Modifier Low / Median / High Price $325.08 / $2,600.65 / $3,032.69	Facility		$325.08	$2,600.65	$3,032.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,852.51 / $2,311.42 / $4,879.68	Professional		$1,852.51	$2,311.42	$4,879.68