Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,456.54 / $16,982.44	Facility		$2,187.76	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $2,630.27	Professional		$616.60	$794.33	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,479.11	Professional		$1,023.29	$1,023.29	$1,479.11
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 $630.96 / $912.01 / $2,344.23	Professional		$630.96	$912.01	$2,344.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $7,762.47	Facility		$66.07	$2,511.89	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $2,137.96	Professional		$691.83	$1,023.29	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,778.28	Professional		$676.08	$933.25	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $891.25 / $1,348.96	Professional		$263.03	$891.25	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,778.28	Professional		$660.69	$1,023.29	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $28,840.32 / $28,840.32	Facility		$5,623.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,413.10 / $7,413.10	Professional		$6,165.95	$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 $630.96 / $891.25 / $1,380.38	Facility		$630.96	$891.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,819.70	Professional		$676.08	$933.25	$1,819.70
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 $331.13 / $501.19 / $977.24	Professional		$331.13	$501.19	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,584.89	Professional		$588.84	$812.83	$1,584.89