Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,456.54 / $16,982.44	Facility		$1,148.15	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $1,023.29	Professional		$257.04	$457.09	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
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 $398.11 / $616.60 / $1,318.26	Professional		$398.11	$616.60	$1,318.26
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 $407.38 / $575.44 / $1,258.93	Professional		$407.38	$575.44	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,000.00	Professional		$371.54	$549.54	$1,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $707.95	Professional		$316.23	$407.38	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $954.99	Professional		$288.40	$512.86	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $45,708.82 / $45,708.82	Facility		$2,290.87	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $4,168.69	Professional		$3,548.13	$4,168.69	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $691.83	Professional		$416.87	$416.87	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $524.81 / $794.33	Facility		$302.00	$524.81	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,000.00	Professional		$363.08	$549.54	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,659.59	Professional		$1,122.02	$1,122.02	$1,659.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $691.83	Professional		$288.40	$501.19	$691.83
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 $295.12 / $457.09 / $891.25	Professional		$295.12	$457.09	$891.25