Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,353.73 / $2,353.73 / $12,354.00	Facility		$2,353.73	$2,353.73	$12,354.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,870.82 / $2,353.73 / $12,354.00	Professional		$1,870.82	$2,353.73	$12,354.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,425.42 / $3,425.42 / $3,425.42	Professional		$3,425.42	$3,425.42	$3,425.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.37 / $6,496.20 / $13,591.62	Facility		$1,787.37	$6,496.20	$13,591.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,197.85 / $2,635.75 / $4,079.80	Professional		$2,197.85	$2,635.75	$4,079.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,069.22 / $9,052.20	Facility		$97.00	$5,069.22	$9,052.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,681.19 / $13,233.40	Professional		$100.00	$5,681.19	$13,233.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,002.67 / $2,448.80 / $2,448.80	Facility		$2,002.67	$2,448.80	$2,448.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $1,787.62 / $2,871.59	Professional		$1,787.62	$1,787.62	$2,871.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.84 / $1,948.61 / $4,709.95	Professional		$1,623.84	$1,948.61	$4,709.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,569.06 / $2,997.24 / $6,508.29	Professional		$2,569.06	$2,997.24	$6,508.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,369.96 / $20,504.11 / $20,504.11	Facility		$7,369.96	$20,504.11	$20,504.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,086.40 / $22,086.40 / $32,113.28	Professional		$22,086.40	$22,086.40	$32,113.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $13,243.69 / $13,243.69 / $13,243.69	Professional		$13,243.69	$13,243.69	$13,243.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,262.19 / $3,719.25 / $4,410.26	Facility		$1,262.19	$3,719.25	$4,410.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $2,448.80 / $4,075.46	Professional		$1,787.62	$2,448.80	$4,075.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,081.69 / $8,081.69 / $8,081.69	Professional		$8,081.69	$8,081.69	$8,081.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,623.84 / $2,760.53 / $3,425.42	Professional		$1,623.84	$2,760.53	$3,425.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,860.49 / $2,136.13 / $4,281.77	Professional		$1,860.49	$2,136.13	$4,281.77