Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,165.95 / $16,595.87	Facility		$1,174.90	$6,165.95	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $1,288.25	Professional		$186.21	$302.00	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $309.03	Professional		$97.72	$213.80	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $812.83	Professional		$281.84	$380.19	$812.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,318.26 / $7,762.47	Facility		$66.07	$1,318.26	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $776.25	Professional		$239.88	$371.54	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $602.56	Professional		$229.09	$346.74	$602.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $446.68	Professional		$204.17	$263.03	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $602.56	Professional		$199.53	$338.84	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $28,840.32 / $28,840.32	Facility		$3,981.07	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,630.27	Professional		$2,238.72	$2,630.27	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $446.68	Professional		$269.15	$269.15	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $338.84 / $501.19	Facility		$204.17	$338.84	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $602.56	Professional		$229.09	$346.74	$602.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,023.29	Professional		$724.44	$724.44	$1,023.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $436.52	Professional		$199.53	$316.23	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,019.95 / $7,943.28	Facility		$1,479.11	$3,019.95	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $562.34	Professional		$194.98	$302.00	$562.34