Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,244.36 / $17,378.01	Facility		$2,884.03	$7,244.36	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $831.76 / $4,365.16	Professional		$169.82	$831.76	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $1,318.26	Professional		$331.13	$416.87	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,288.25 / $2,754.23	Professional		$234.42	$1,288.25	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,090.30 / $8,317.64	Facility		$66.07	$3,090.30	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $758.58 / $2,187.76	Professional		$199.53	$758.58	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $891.25 / $1,995.26	Professional		$204.17	$891.25	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $1,148.15	Professional		$165.96	$199.53	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $691.83 / $1,348.96	Professional		$154.88	$691.83	$1,348.96
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 Professional Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $6,165.95	Professional		$5,248.07	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,023.29	Professional		$616.60	$616.60	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $707.95 / $1,412.54	Facility		$181.97	$707.95	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $851.14 / $1,995.26	Professional		$204.17	$851.14	$1,995.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $3,090.30	Professional		$602.56	$602.56	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $891.25	Professional		$151.36	$234.42	$891.25
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 $169.82 / $724.44 / $1,862.09	Professional		$169.82	$724.44	$1,862.09