Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,451.05 / $2,451.05 / $15,699.50	Facility		$2,451.05	$2,451.05	$15,699.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.98 / $2,451.05 / $15,699.50	Professional		$1,807.98	$2,451.05	$15,699.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,445.37 / $3,445.37 / $3,445.37	Professional		$3,445.37	$3,445.37	$3,445.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.27 / $7,667.88 / $17,272.32	Facility		$1,861.27	$7,667.88	$17,272.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,241.00 / $2,469.21 / $4,272.25	Professional		$2,241.00	$2,469.21	$4,272.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $6,442.02 / $11,503.61	Facility		$97.00	$6,442.02	$11,503.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $7,219.69 / $16,817.09	Professional		$100.00	$7,219.69	$16,817.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.00 / $2,550.04 / $2,908.58	Facility		$2,545.00	$2,550.04	$2,908.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $1,861.53 / $2,990.32	Professional		$1,861.53	$1,861.53	$2,990.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,017.64 / $2,421.17 / $5,985.43	Professional		$2,017.64	$2,421.17	$5,985.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,264.78 / $3,808.91 / $8,270.78	Professional		$3,264.78	$3,808.91	$8,270.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,325.45 / $25,846.18 / $25,846.18	Facility		$9,325.45	$25,846.18	$25,846.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,362.41 / $26,362.41 / $31,152.60	Professional		$26,362.41	$26,362.41	$31,152.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,465.51 / $8,465.51 / $8,465.51	Professional		$8,465.51	$8,465.51	$8,465.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,314.38 / $4,544.64 / $5,441.30	Facility		$1,314.38	$4,544.64	$5,441.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $5,069.12	Professional		$1,861.53	$2,550.04	$5,069.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,270.27 / $10,270.27 / $10,270.27	Professional		$10,270.27	$10,270.27	$10,270.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,017.64 / $3,429.99 / $4,353.04	Professional		$2,017.64	$3,429.99	$4,353.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,625.10 / $5,441.30 / $5,441.30	Facility		$4,625.10	$5,441.30	$5,441.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,916.44 / $2,391.19 / $5,169.07	Professional		$1,916.44	$2,391.19	$5,169.07