Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,606.93 / $17,782.79	Facility		$2,884.03	$6,606.93	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,737.80	Professional		$295.12	$446.68	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
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 $389.05 / $524.81 / $1,023.29	Professional		$389.05	$524.81	$1,023.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $8,511.38	Facility		$66.07	$3,548.13	$8,511.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $1,047.13	Professional		$389.05	$537.03	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $933.25	Professional		$346.74	$467.74	$933.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $426.58 / $575.44	Professional		$186.21	$426.58	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $831.76	Professional		$331.13	$436.52	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $45,708.82	Facility		$4,786.30	$4,786.30	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,019.95	Professional		$2,570.40	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $478.63 / $707.95	Facility		$354.81	$478.63	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $933.25	Professional		$346.74	$478.63	$933.25
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
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 $234.42 / $323.59 / $416.87	Professional		$234.42	$323.59	$416.87
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 $263.03 / $363.08 / $758.58	Professional		$263.03	$363.08	$758.58