Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $9,772.37 / $19,054.61	Facility		$3,467.37	$9,772.37	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $489.78 / $1,995.26	Professional		$245.47	$489.78	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $1,513.56	Professional		$416.87	$575.44	$1,513.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,011.87 / $22,387.21	Facility		$66.07	$5,011.87	$22,387.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,445.44	Professional		$489.78	$630.96	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,230.27	Professional		$467.74	$588.84	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $707.95	Professional		$426.58	$524.81	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $977.24	Professional		$426.58	$575.44	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,073.80	Professional		$3,467.37	$4,073.80	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $549.54 / $758.58	Facility		$416.87	$549.54	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,258.93	Professional		$467.74	$588.84	$1,258.93
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $724.44	Professional		$426.58	$549.54	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,232.93 / $20,892.96	Facility		$5,623.41	$10,232.93	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $1,047.13	Professional		$371.54	$524.81	$1,047.13