Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $18,620.87	Facility		$2,398.83	$2,398.83	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $16,595.87	Professional		$1,905.46	$2,398.83	$16,595.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,311.31	Professional		$3,235.94	$3,235.94	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $10,232.93	Facility		$2,238.72	$2,818.38	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $5,370.32	Professional		$2,511.89	$3,162.28	$5,370.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $7,585.78 / $10,232.93	Facility		$100.00	$7,585.78	$10,232.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $8,128.31 / $13,803.84	Professional		$4,168.69	$8,128.31	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $3,090.30	Facility		$1,995.26	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,090.30	Professional		$2,238.72	$2,238.72	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $5,248.07	Professional		$2,187.76	$2,754.23	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $6,918.31	Professional		$2,630.27	$4,365.16	$6,918.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Facility		$20,892.96	$20,892.96	$20,892.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,387.21 / $32,359.37 / $32,359.37	Professional		$22,387.21	$32,359.37	$32,359.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,981.07 / $5,495.41	Facility		$1,412.54	$3,981.07	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $4,168.69	Professional		$2,238.72	$2,238.72	$4,168.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $3,981.07	Professional		$2,187.76	$3,311.31	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,630.27 / $5,370.32	Facility		$323.59	$2,630.27	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $4,365.16	Professional		$1,862.09	$2,344.23	$4,365.16