Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,595.87	Facility		$2,398.83	$6,456.54	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $2,691.53	Professional		$645.65	$831.76	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
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 $724.44 / $1,023.29 / $2,344.23	Professional		$724.44	$1,023.29	$2,344.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,019.95 / $8,317.64	Facility		$66.07	$3,019.95	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,187.76	Professional		$707.95	$1,000.00	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,737.80	Professional		$691.83	$954.99	$1,737.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,288.25	Professional		$467.74	$851.14	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,659.59	Professional		$616.60	$954.99	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $28,840.32 / $28,840.32	Facility		$11,220.18	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,079.46 / $7,079.46	Professional		$6,165.95	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,202.26	Professional		$724.44	$724.44	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,380.38	Facility		$630.96	$954.99	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,778.28	Professional		$691.83	$954.99	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,818.38	Professional		$2,238.72	$2,238.72	$2,818.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,000.00	Professional		$575.44	$794.33	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $21,379.62	Facility		$5,623.41	$10,000.00	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,584.89	Professional		$575.44	$812.83	$1,584.89