Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,606.93 / $16,982.44	Facility		$2,290.87	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $1,479.11	Professional		$251.19	$389.05	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
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 $281.84 / $398.11 / $794.33	Professional		$281.84	$398.11	$794.33
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 $275.42 / $407.38 / $794.33	Professional		$275.42	$407.38	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $776.25	Professional		$275.42	$416.87	$776.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $660.69	Professional		$295.12	$371.54	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $741.31	Professional		$257.04	$407.38	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $28,840.32	Facility		$3,981.07	$3,981.07	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $3,162.28	Professional		$2,754.23	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $537.03	Professional		$323.59	$323.59	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $660.69	Facility		$275.42	$416.87	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $812.83	Professional		$275.42	$426.58	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,318.26	Professional		$870.96	$870.96	$1,318.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $575.44	Professional		$263.03	$426.58	$575.44
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 $223.87 / $338.84 / $691.83	Professional		$223.87	$338.84	$691.83