Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,413.10 / $18,197.01	Facility		$2,884.03	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $1,905.46	Professional		$302.00	$436.52	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
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 $331.13 / $467.74 / $1,174.90	Professional		$331.13	$467.74	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $8,709.64	Facility		$66.07	$2,570.40	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $977.24	Professional		$302.00	$467.74	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $912.01	Professional		$331.13	$489.78	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $724.44	Professional		$251.19	$457.09	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $933.25	Professional		$323.59	$512.86	$933.25
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 $3,388.44 / $3,890.45 / $3,890.45	Professional		$3,388.44	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $645.65	Professional		$389.05	$389.05	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $467.74 / $758.58	Facility		$316.23	$467.74	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $933.25	Professional		$331.13	$489.78	$933.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,513.56	Professional		$1,122.02	$1,122.02	$1,513.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $549.54	Professional		$309.03	$426.58	$549.54
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 $281.84 / $407.38 / $831.76	Professional		$281.84	$407.38	$831.76