Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,413.10 / $18,620.87	Facility		$1,584.89	$7,413.10	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,659.59	Professional		$426.58	$630.96	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
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 $549.54 / $741.31 / $1,445.44	Professional		$549.54	$741.31	$1,445.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $9,120.11	Facility		$66.07	$3,890.45	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,479.11	Professional		$524.81	$758.58	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,318.26	Professional		$489.78	$724.44	$1,318.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $1,174.90	Professional		$295.12	$575.44	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,288.25	Professional		$457.09	$724.44	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,495.41 / $5,495.41	Professional		$4,786.30	$5,495.41	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $933.25	Professional		$562.34	$562.34	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $1,148.15	Facility		$501.19	$724.44	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,380.38	Professional		$489.78	$741.31	$1,380.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,187.76	Professional		$1,513.56	$1,513.56	$2,187.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $741.31	Professional		$371.54	$501.19	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,174.90	Professional		$398.11	$588.84	$1,174.90