Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,079.46 / $19,952.62	Facility		$2,951.21	$7,079.46	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $851.14 / $2,818.38	Professional		$316.23	$851.14	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $977.24 / $2,398.83	Professional		$478.63	$977.24	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,479.11	Professional		$346.74	$549.54	$1,479.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $8,912.51	Facility		$66.07	$2,511.89	$8,912.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $1,659.59	Professional		$354.81	$724.44	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Facility		$1,778.28	$1,778.28	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $776.25 / $1,905.46	Professional		$346.74	$776.25	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $467.74 / $1,621.81	Professional		$229.09	$467.74	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $977.24 / $1,819.70	Professional		$407.38	$977.24	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,128.31 / $8,128.31	Professional		$6,918.31	$8,128.31	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,348.96	Professional		$812.83	$812.83	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $630.96 / $1,621.81	Facility		$295.12	$630.96	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $794.33 / $2,041.74	Professional		$338.84	$794.33	$2,041.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $3,162.28	Professional		$1,096.48	$1,096.48	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $1,071.52	Professional		$288.40	$407.38	$1,071.52
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 $281.84 / $724.44 / $1,862.09	Professional		$281.84	$724.44	$1,862.09