Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $16,982.44	Facility		$2,344.23	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,862.09	Professional		$323.59	$501.19	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
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 $446.68 / $630.96 / $1,230.27	Professional		$446.68	$630.96	$1,230.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $7,762.47	Facility		$66.07	$2,511.89	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,318.26	Professional		$446.68	$691.83	$1,318.26
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 $398.11 / $588.84 / $1,023.29	Professional		$398.11	$588.84	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $891.25	Professional		$407.38	$549.54	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $1,000.00	Professional		$363.08	$562.34	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $28,840.32	Facility		$6,760.83	$6,760.83	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $4,265.80	Professional		$3,981.07	$4,265.80	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $707.95	Professional		$426.58	$426.58	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $954.99	Facility		$380.19	$602.56	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,071.52	Professional		$398.11	$616.60	$1,071.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,584.89	Professional		$1,174.90	$1,174.90	$1,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $977.24	Professional		$371.54	$645.65	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $933.25	Professional		$309.03	$478.63	$933.25