Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,000.00 / $20,892.96	Facility		$3,630.78	$10,000.00	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $2,570.40	Professional		$338.84	$489.78	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $1,348.96	Professional		$371.54	$537.03	$1,348.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $12,302.69	Facility		$66.07	$2,511.89	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $1,071.52	Professional		$331.13	$501.19	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $1,023.29	Professional		$363.08	$537.03	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $537.03 / $870.96	Professional		$177.83	$537.03	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,148.15	Professional		$398.11	$645.65	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $42,657.95 / $42,657.95	Facility		$5,623.41	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,677.35 / $4,677.35	Professional		$3,890.45	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $758.58	Professional		$457.09	$457.09	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $549.54 / $912.01	Facility		$371.54	$549.54	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $1,047.13	Professional		$363.08	$537.03	$1,047.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,698.24	Professional		$1,258.93	$1,258.93	$1,698.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $691.83	Professional		$229.09	$380.19	$691.83
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 $316.23 / $457.09 / $933.25	Professional		$316.23	$457.09	$933.25