Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,659.47 / $4,659.47 / $24,455.90	Facility		$4,659.47	$4,659.47	$24,455.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,703.46 / $4,659.47 / $24,455.90	Professional		$3,703.46	$4,659.47	$24,455.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,933.35 / $5,933.35 / $5,933.35	Professional		$5,933.35	$5,933.35	$5,933.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,538.30 / $12,859.95 / $26,906.03	Facility		$3,538.30	$12,859.95	$26,906.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,236.55 / $5,217.74 / $8,076.50	Professional		$4,236.55	$5,217.74	$8,076.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $10,035.07 / $17,919.77	Facility		$97.00	$10,035.07	$17,919.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $11,246.50 / $26,196.86	Professional		$100.00	$11,246.50	$26,196.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,964.50 / $6,042.00 / $6,042.00	Facility		$3,964.50	$6,042.00	$6,042.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $4,410.66 / $7,085.17	Professional		$4,410.66	$4,410.66	$7,085.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,143.06 / $3,771.67 / $9,323.83	Professional		$3,143.06	$3,771.67	$9,323.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,085.72 / $5,933.35 / $12,883.84	Professional		$5,085.72	$5,933.35	$12,883.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,589.81 / $40,507.83 / $40,507.83	Facility		$14,589.81	$40,507.83	$40,507.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $43,722.41 / $43,722.41 / $63,571.35	Professional		$43,722.41	$43,722.41	$63,571.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $17,897.81 / $17,897.81 / $17,897.81	Professional		$17,897.81	$17,897.81	$17,897.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,498.65 / $7,362.64 / $8,730.64	Facility		$2,498.65	$7,362.64	$8,730.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $6,042.00 / $8,067.79	Professional		$4,410.66	$6,042.00	$8,067.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,998.52 / $15,998.52 / $15,998.52	Professional		$15,998.52	$15,998.52	$15,998.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,143.06 / $5,343.20 / $6,780.97	Professional		$3,143.06	$5,343.20	$6,780.97
United Facility/Professional Professional Modifier Low / Median / High Price $3,643.18 / $4,190.97 / $8,201.54	Professional		$3,643.18	$4,190.97	$8,201.54