Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,456.54 / $16,982.44	Facility		$2,238.72	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $1,862.09	Professional		$302.00	$501.19	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $977.24	Professional		$338.84	$489.78	$977.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,019.95 / $7,762.47	Facility		$66.07	$3,019.95	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,047.13	Professional		$331.13	$524.81	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $954.99	Professional		$331.13	$501.19	$954.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $891.25	Professional		$257.04	$436.52	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $1,000.00	Professional		$338.84	$549.54	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $28,840.32	Facility		$6,760.83	$6,760.83	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $4,168.69	Professional		$3,467.37	$4,168.69	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $691.83	Professional		$416.87	$416.87	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $851.14	Facility		$338.84	$512.86	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,000.00	Professional		$331.13	$524.81	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,548.82	Professional		$1,071.52	$1,071.52	$1,548.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $575.44	Professional		$323.59	$436.52	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $831.76	Professional		$275.42	$407.38	$831.76