Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,918.31 / $17,782.79	Facility		$2,691.53	$6,918.31	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,819.70	Professional		$398.11	$562.34	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $831.76	Professional		$371.54	$416.87	$831.76
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 $524.81 / $776.25 / $1,548.82	Professional		$524.81	$776.25	$1,548.82
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 $426.58 / $616.60 / $1,258.93	Professional		$426.58	$616.60	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,778.28	Facility		$1,513.56	$1,513.56	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $1,202.26	Professional		$436.52	$549.54	$1,202.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $660.69	Professional		$363.08	$489.78	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $977.24	Professional		$407.38	$537.03	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,760.83	Facility		$54.95	$56.23	$6,760.83
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	AS	$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $3,801.89	Professional		$3,162.28	$3,801.89	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $588.84 / $891.25	Facility		$436.52	$588.84	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $1,174.90	Professional		$436.52	$549.54	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $776.25	Professional		$398.11	$549.54	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $15,135.61	Facility		$3,981.07	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,258.93	Professional		$363.08	$524.81	$1,258.93