Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,025.60 / $12,302.69	Facility		$2,238.72	$6,025.60	$12,302.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	53	$3,388.44	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $575.44 / $2,951.21	Professional		$151.36	$575.44	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $851.14	Professional		$257.04	$363.08	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $851.14 / $1,819.70	Professional		$213.80	$851.14	$1,819.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,019.95 / $7,943.28	Facility		$66.07	$3,019.95	$7,943.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $616.60 / $1,445.44	Professional		$181.97	$616.60	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Facility		$891.25	$891.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $602.56 / $1,288.25	Professional		$186.21	$602.56	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $630.96 / $812.83	Professional		$151.36	$630.96	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $457.09 / $891.25	Professional		$141.25	$457.09	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,981.07	Facility		$54.95	$56.23	$3,981.07
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	53	$794.33	$794.33	$794.33
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 $407.38 / $407.38 / $676.08	Professional		$407.38	$407.38	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $467.74 / $933.25	Facility		$162.18	$467.74	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $575.44 / $1,288.25	Professional		$186.21	$575.44	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $2,041.74	Professional		$549.54	$549.54	$2,041.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $575.44 / $1,071.52	Professional		$134.90	$575.44	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,549.93	Facility		$2,344.23	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $501.19 / $1,230.27	Professional		$154.88	$501.19	$1,230.27