Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,076.21 / $2,076.21 / $11,343.50	Facility		$2,076.21	$2,076.21	$11,343.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,573.86 / $2,076.21 / $11,343.50	Professional		$1,573.86	$2,076.21	$11,343.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,145.26 / $3,145.26 / $3,145.26	Professional		$3,145.26	$3,145.26	$3,145.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,576.64 / $5,730.30 / $12,479.98	Facility		$1,576.64	$5,730.30	$12,479.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,009.50 / $2,148.37 / $3,830.87	Professional		$2,009.50	$2,148.37	$3,830.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $4,654.59 / $8,311.76	Facility		$98.20	$4,654.59	$8,311.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,216.52 / $12,151.02	Professional		$100.00	$5,216.52	$12,151.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,838.86 / $2,160.07 / $2,160.07	Facility		$1,838.86	$2,160.07	$2,160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $2,533.03	Professional		$1,576.85	$1,576.85	$2,533.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.82 / $1,749.38 / $4,324.72	Professional		$1,457.82	$1,749.38	$4,324.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,358.94 / $2,752.10 / $5,975.99	Professional		$2,358.94	$2,752.10	$5,975.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,362.02 / $18,674.96 / $18,674.96	Facility		$8,362.02	$18,674.96	$18,674.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,461.27 / $19,461.27 / $27,934.13	Professional		$19,461.27	$19,461.27	$27,934.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,794.84 / $10,794.84 / $10,794.84	Professional		$10,794.84	$10,794.84	$10,794.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,113.38 / $3,415.02 / $3,984.69	Facility		$1,113.38	$3,415.02	$3,984.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $3,742.12	Professional		$1,576.85	$2,160.07	$3,742.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,420.67 / $7,420.67 / $7,420.67	Professional		$7,420.67	$7,420.67	$7,420.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,457.82 / $2,478.29 / $3,145.26	Professional		$1,457.82	$2,478.29	$3,145.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,623.37 / $1,943.92 / $3,931.57	Professional		$1,623.37	$1,943.92	$3,931.57