Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $1,862.09	Professional		$281.84	$489.78	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
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 $288.40 / $457.09 / $1,174.90	Professional		$288.40	$457.09	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,235.94 / $7,762.47	Facility		$66.07	$3,235.94	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $977.24	Professional		$275.42	$457.09	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $912.01	Professional		$302.00	$489.78	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $407.38 / $831.76	Professional		$154.88	$407.38	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $1,122.02	Professional		$331.13	$616.60	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $28,840.32 / $28,840.32	Facility		$6,760.83	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $4,466.84	Professional		$3,715.35	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $741.31	Professional		$446.68	$446.68	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $812.83	Facility		$302.00	$478.63	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $954.99	Professional		$302.00	$501.19	$954.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,659.59	Professional		$1,047.13	$1,047.13	$1,659.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $630.96	Professional		$162.18	$263.03	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $15,135.61	Facility		$4,265.80	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $851.14	Professional		$269.15	$416.87	$851.14