Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $11,481.54 / $27,542.29	Facility		$3,715.35	$11,481.54	$27,542.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,737.80 / $4,786.30	Professional		$389.05	$1,737.80	$4,786.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $3,630.78 / $7,244.36	Professional		$660.69	$3,630.78	$7,244.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $10,715.19	Facility		$66.07	$4,168.69	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,862.09 / $5,248.07	Professional		$416.87	$1,862.09	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $11,748.98	Facility		$9,772.37	$9,772.37	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,318.26 / $4,265.80	Professional		$426.58	$1,318.26	$4,265.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $2,570.40 / $3,890.45	Professional		$363.08	$2,570.40	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,288.25 / $3,019.95	Professional		$338.84	$1,288.25	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $44,668.36	Facility		$54.95	$56.23	$44,668.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $16,218.10	Professional		$14,125.38	$14,125.38	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,290.87	Professional		$1,348.96	$1,348.96	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,819.70 / $3,715.35	Facility		$416.87	$1,819.70	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,096.48 / $4,265.80	Professional		$426.58	$1,096.48	$4,265.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $6,456.54	Professional		$1,258.93	$1,258.93	$6,456.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $3,235.94 / $4,897.79	Professional		$331.13	$3,235.94	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,548.82 / $4,265.80	Professional		$380.19	$1,548.82	$4,265.80