Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,165.95 / $16,982.44	Facility		$2,137.96	$6,165.95	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $2,041.74	Professional		$302.00	$524.81	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
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 $363.08 / $501.19 / $977.24	Professional		$363.08	$501.19	$977.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $7,762.47	Facility		$66.07	$2,041.74	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,288.25	Professional		$416.87	$588.84	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,023.29	Professional		$346.74	$537.03	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $954.99	Professional		$331.13	$436.52	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $1,047.13	Professional		$316.23	$588.84	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $28,840.32	Facility		$3,981.07	$3,981.07	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,365.16	Professional		$3,715.35	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $724.44	Professional		$436.52	$436.52	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $912.01	Facility		$338.84	$524.81	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,096.48	Professional		$338.84	$562.34	$1,096.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,698.24	Professional		$1,023.29	$1,023.29	$1,698.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $707.95	Professional		$323.59	$537.03	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $912.01	Professional		$275.42	$407.38	$912.01