Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,309.57 / $16,595.87	Facility		$2,290.87	$6,309.57	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $239.88 / $1,348.96	Professional		$87.10	$239.88	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $218.78	Professional		$147.91	$147.91	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $275.42 / $1,230.27	Professional		$131.83	$275.42	$1,230.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,737.80 / $6,606.93	Facility		$66.07	$1,737.80	$6,606.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $426.58 / $1,230.27	Professional		$109.65	$426.58	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,479.11 / $2,951.21	Facility		$630.96	$1,479.11	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $263.03 / $1,230.27	Professional		$97.72	$263.03	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $977.24 / $1,318.26	Professional		$87.10	$977.24	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $630.96 / $1,318.26	Professional		$77.62	$630.96	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $5,011.87 / $5,011.87	Facility		$56.23	$5,011.87	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $5,754.40	Professional		$4,897.79	$5,754.40	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $891.25	Professional		$537.03	$537.03	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $269.15 / $1,174.90	Facility		$93.33	$269.15	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $245.47 / $1,348.96	Professional		$97.72	$245.47	$1,348.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $2,290.87	Professional		$316.23	$316.23	$2,290.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,230.27 / $1,862.09	Professional		$79.43	$1,230.27	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $416.87 / $1,000.00	Professional		$83.18	$416.87	$1,000.00