Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $8,128.31 / $18,197.01	Facility		$2,951.21	$8,128.31	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $3,235.94	Professional		$645.65	$851.14	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $870.96	Professional		$851.14	$851.14	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $2,344.23	Professional		$691.83	$954.99	$2,344.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,398.83 / $8,709.64	Facility		$66.07	$2,398.83	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $2,137.96	Professional		$724.44	$977.24	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,819.70	Professional		$707.95	$954.99	$1,819.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $851.14 / $1,318.26	Professional		$338.84	$851.14	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,698.24	Professional		$630.96	$977.24	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $45,708.82 / $45,708.82	Facility		$5,623.41	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $7,413.10	Professional		$6,309.57	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,230.27	Professional		$741.31	$741.31	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,348.96	Facility		$645.65	$912.01	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,862.09	Professional		$676.08	$954.99	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,818.38	Professional		$2,344.23	$2,344.23	$2,818.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $954.99	Professional		$426.58	$602.56	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,000.00	Facility		$2,344.23	$4,365.16	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,584.89	Professional		$588.84	$812.83	$1,584.89