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 $194.98 / $295.12 / $1,000.00	Professional		$194.98	$295.12	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
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 $218.78 / $354.81 / $794.33	Professional		$218.78	$354.81	$794.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,230.27 / $5,754.40	Facility		$66.07	$1,230.27	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $660.69	Professional		$204.17	$309.03	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $630.96	Professional		$218.78	$331.13	$630.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $457.09	Professional		$223.87	$275.42	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $602.56	Professional		$199.53	$331.13	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $13,489.63 / $13,489.63	Facility		$2,041.74	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $2,630.27	Professional		$2,290.87	$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 $199.53 / $309.03 / $489.78	Facility		$199.53	$309.03	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $630.96	Professional		$218.78	$331.13	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,047.13	Professional		$741.31	$741.31	$1,047.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $446.68	Professional		$199.53	$346.74	$446.68
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 $190.55 / $275.42 / $562.34	Professional		$190.55	$275.42	$562.34