Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $2,041.74	Professional		$346.74	$512.86	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
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 $501.19 / $691.83 / $1,318.26	Professional		$501.19	$691.83	$1,318.26
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 $446.68 / $645.65 / $1,258.93	Professional		$446.68	$645.65	$1,258.93
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 $426.58 / $549.54 / $1,174.90	Professional		$426.58	$549.54	$1,174.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $691.83	Professional		$288.40	$512.86	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,047.13	Professional		$416.87	$549.54	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $28,840.32	Facility		$4,786.30	$4,786.30	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,466.84	Professional		$3,890.45	$3,890.45	$4,466.84
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 $446.68 / $575.44 / $891.25	Facility		$446.68	$575.44	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,174.90	Professional		$426.58	$562.34	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $616.60	Professional		$363.08	$467.74	$616.60
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 $346.74 / $457.09 / $977.24	Professional		$346.74	$457.09	$977.24