Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,035.69 / $2,035.69 / $12,667.80	Facility		$2,035.69	$2,035.69	$12,667.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.94 / $2,035.69 / $12,667.80	Professional		$1,483.94	$2,035.69	$12,667.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,512.43 / $3,512.43 / $3,512.43	Professional		$3,512.43	$3,512.43	$3,512.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,545.86 / $6,187.15 / $13,936.89	Facility		$1,545.86	$6,187.15	$13,936.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,735.00 / $2,063.67 / $3,308.33	Professional		$1,735.00	$2,063.67	$3,308.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,198.01 / $9,282.16	Facility		$97.00	$5,198.01	$9,282.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,825.51 / $13,569.57	Professional		$100.00	$5,825.51	$13,569.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,053.55 / $2,117.90 / $2,346.91	Facility		$2,053.55	$2,117.90	$2,346.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $4,123.88	Professional		$1,546.07	$1,546.07	$4,123.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,687.63 / $2,025.16 / $4,829.59	Professional		$1,687.63	$2,025.16	$4,829.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,634.32 / $3,073.38 / $6,673.62	Professional		$2,634.32	$3,073.38	$6,673.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,221.40 / $20,855.07 / $20,855.07	Facility		$7,221.40	$20,855.07	$20,855.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,074.59 / $21,074.59 / $31,063.35	Professional		$21,074.59	$21,074.59	$31,063.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,948.29 / $6,948.29 / $6,948.29	Professional		$6,948.29	$6,948.29	$6,948.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,091.64 / $3,557.34 / $4,390.54	Facility		$1,091.64	$3,557.34	$4,390.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $3,731.96	Professional		$1,546.07	$1,546.07	$3,731.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,286.99 / $8,286.99 / $8,286.99	Professional		$8,286.99	$8,286.99	$8,286.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,687.63 / $2,868.97 / $3,512.43	Professional		$1,687.63	$2,868.97	$3,512.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,591.67 / $1,720.58 / $4,166.85	Professional		$1,591.67	$1,720.58	$4,166.85