Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,413.10 / $18,197.01	Facility		$2,818.38	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $1,479.11	Professional		$269.15	$380.19	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $851.14	Professional		$295.12	$436.52	$851.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $8,709.64	Facility		$66.07	$2,630.27	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $831.76	Professional		$302.00	$436.52	$831.76
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 $302.00 / $398.11 / $758.58	Professional		$302.00	$398.11	$758.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $489.78	Professional		$194.98	$346.74	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $616.60	Professional		$275.42	$363.08	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $45,708.82	Facility		$4,786.30	$4,786.30	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,162.28	Professional		$2,691.53	$2,691.53	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $446.68	Professional		$269.15	$269.15	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $407.38 / $616.60	Facility		$288.40	$407.38	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $776.25	Professional		$302.00	$407.38	$776.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,047.13	Professional		$933.25	$933.25	$1,047.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $416.87	Professional		$199.53	$288.40	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $630.96	Professional		$234.42	$323.59	$630.96