Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,606.93 / $16,982.44	Facility		$2,398.83	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $1,819.70	Professional		$331.13	$416.87	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
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 $489.78 / $660.69 / $1,174.90	Professional		$489.78	$660.69	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,311.31 / $9,332.54	Facility		$66.07	$3,311.31	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,202.26	Professional		$446.68	$645.65	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $933.25	Professional		$380.19	$489.78	$933.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $645.65	Professional		$354.81	$426.58	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $831.76	Professional		$302.00	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $28,840.32	Facility		$19,952.62	$19,952.62	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $831.76	Facility		$354.81	$489.78	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $933.25	Professional		$371.54	$512.86	$933.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $912.01	Professional		$323.59	$588.84	$912.01
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 $281.84 / $407.38 / $758.58	Professional		$281.84	$407.38	$758.58