Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,762.47 / $18,197.01	Facility		$3,090.30	$7,762.47	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $2,238.72	Professional		$436.52	$588.84	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
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 $549.54 / $812.83 / $1,445.44	Professional		$549.54	$812.83	$1,445.44
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 $446.68 / $630.96 / $1,258.93	Professional		$446.68	$630.96	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,230.27	Professional		$467.74	$602.56	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $691.83	Professional		$389.05	$512.86	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,096.48	Professional		$426.58	$562.34	$1,096.48
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 Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $4,073.80	Professional		$3,388.44	$4,073.80	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $588.84 / $954.99	Facility		$457.09	$588.84	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,230.27	Professional		$467.74	$602.56	$1,230.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $660.69	Professional		$389.05	$501.19	$660.69
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 / $501.19 / $1,000.00	Professional		$363.08	$501.19	$1,000.00