Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,606.93 / $16,595.87	Facility		$1,548.82	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $851.14 / $2,818.38	Professional		$371.54	$851.14	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $691.83 / $1,148.15	Professional		$316.23	$691.83	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,089.30	Professional		$707.95	$977.24	$2,089.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $10,471.29	Facility		$66.07	$4,786.30	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,698.24	Professional		$524.81	$758.58	$1,698.24
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 $524.81 / $794.33 / $1,698.24	Professional		$524.81	$794.33	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $977.24	Professional		$371.54	$562.34	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,412.54	Professional		$616.60	$812.83	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,479.11	Facility		$602.56	$831.76	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,737.80	Professional		$524.81	$794.33	$1,737.80
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $851.14	Professional		$467.74	$630.96	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $15,135.61	Facility		$3,981.07	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,905.46	Professional		$501.19	$707.95	$1,905.46