Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,606.93 / $25,703.96	Facility		$1,737.80	$6,606.93	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $398.11 / $10,232.93	Professional		$83.18	$398.11	$10,232.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $8,128.31 / $16,982.44	Professional		$131.83	$8,128.31	$16,982.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $15,135.61	Facility		$66.07	$5,128.61	$15,135.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $524.81 / $11,220.18	Professional		$91.20	$524.81	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $10,471.29	Facility		$8,912.51	$8,912.51	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $4,265.80 / $10,232.93	Professional		$93.33	$4,265.80	$10,232.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $4,786.30 / $7,244.36	Professional		$79.43	$4,786.30	$7,244.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $2,884.03 / $7,943.28	Professional		$74.13	$2,884.03	$7,943.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $39,810.72	Facility		$54.95	$56.23	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $29,512.09 / $33,113.11 / $33,113.11	Professional		$29,512.09	$33,113.11	$33,113.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,495.41	Professional		$3,311.31	$3,311.31	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $4,265.80 / $8,317.64	Facility		$89.13	$4,265.80	$8,317.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $288.40 / $10,471.29	Professional		$93.33	$288.40	$10,471.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $16,982.44	Professional		$281.84	$281.84	$16,982.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $4,786.30 / $8,317.64	Professional		$72.44	$4,786.30	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $38,904.51	Facility		$9,549.93	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $3,801.89 / $10,000.00	Professional		$85.11	$3,801.89	$10,000.00