Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,309.57 / $16,982.44	Facility		$1,148.15	$6,309.57	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $1,071.52	Professional		$186.21	$371.54	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $389.05	Professional		$371.54	$371.54	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $1,000.00	Professional		$302.00	$426.58	$1,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $741.31 / $8,709.64	Facility		$66.07	$741.31	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $933.25	Professional		$302.00	$436.52	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $812.83	Professional		$295.12	$436.52	$812.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $616.60	Professional		$162.18	$309.03	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $812.83	Professional		$239.88	$446.68	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $45,708.82 / $45,708.82	Facility		$2,187.76	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $588.84	Professional		$354.81	$354.81	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $645.65	Facility		$251.19	$389.05	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $812.83	Professional		$295.12	$436.52	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,412.54	Professional		$912.01	$912.01	$1,412.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $457.09	Professional		$204.17	$275.42	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $724.44	Professional		$239.88	$363.08	$724.44