Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $16,982.44	Facility		$2,344.23	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,122.02 / $2,454.71	Professional		$263.03	$1,122.02	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
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 $380.19 / $812.83 / $2,818.38	Professional		$380.19	$812.83	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,174.90 / $3,019.95	Professional		$331.13	$1,174.90	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $891.25 / $2,187.76	Professional		$288.40	$891.25	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $1,778.28	Professional		$218.78	$302.00	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $977.24 / $1,862.09	Professional		$229.09	$977.24	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $8,709.64 / $8,709.64	Facility		$56.23	$8,709.64	$8,709.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,709.64 / $8,709.64	Professional		$7,244.36	$8,709.64	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $707.95 / $2,137.96	Facility		$295.12	$707.95	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $891.25 / $2,290.87	Professional		$281.84	$891.25	$2,290.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $3,801.89	Professional		$870.96	$870.96	$3,801.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $1,202.26	Professional		$218.78	$354.81	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $870.96 / $2,041.74	Professional		$251.19	$870.96	$2,041.74