Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,606.93 / $16,595.87	Facility		$2,398.83	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $2,570.40	Professional		$501.19	$758.58	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
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 $630.96 / $870.96 / $1,698.24	Professional		$630.96	$870.96	$1,698.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,801.89 / $8,912.51	Facility		$66.07	$3,801.89	$8,912.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,737.80	Professional		$602.56	$912.01	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,090.30 / $3,090.30	Facility		$1,995.26	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,479.11	Professional		$562.34	$812.83	$1,479.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $602.56 / $1,202.26	Professional		$295.12	$602.56	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,348.96	Professional		$478.63	$741.31	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $28,840.32	Facility		$8,912.51	$8,912.51	$28,840.32
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 $5,011.87 / $5,888.44 / $5,888.44	Professional		$5,011.87	$5,888.44	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $977.24	Professional		$588.84	$588.84	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,258.93	Facility		$562.34	$794.33	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,548.82	Professional		$562.34	$851.14	$1,548.82
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,454.71	Professional		$1,584.89	$1,584.89	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $776.25	Professional		$371.54	$501.19	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,772.37 / $20,892.96	Facility		$5,370.32	$9,772.37	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,318.26	Professional		$436.52	$676.08	$1,318.26