Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,232.93 / $24,547.09	Facility		$3,715.35	$10,232.93	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $2,398.83	Professional		$501.19	$741.31	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
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 $676.08 / $933.25 / $1,778.28	Professional		$676.08	$933.25	$1,778.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,715.35 / $16,982.44	Facility		$66.07	$3,715.35	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,698.24	Professional		$562.34	$870.96	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,548.82	Professional		$588.84	$831.76	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,258.93	Professional		$501.19	$724.44	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,380.38	Professional		$524.81	$794.33	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,165.95 / $6,165.95	Professional		$5,370.32	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,047.13	Professional		$630.96	$630.96	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $891.25 / $1,318.26	Facility		$602.56	$891.25	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,584.89	Professional		$575.44	$851.14	$1,584.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,398.83	Professional		$1,862.09	$1,862.09	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,047.13	Professional		$501.19	$758.58	$1,047.13
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 $478.63 / $676.08 / $1,348.96	Professional		$478.63	$676.08	$1,348.96