Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $8,128.31 / $22,387.21	Facility		$3,019.95	$8,128.31	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $3,388.44 / $18,620.87	Professional		$660.69	$3,388.44	$18,620.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,258.93	Professional		$1,174.90	$1,174.90	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $10,232.93 / $22,908.68	Professional		$977.24	$10,232.93	$22,908.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $851.14 / $13,182.57	Facility		$66.07	$851.14	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $3,715.35 / $14,791.08	Professional		$691.83	$3,715.35	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,290.87 / $14,454.40	Professional		$724.44	$2,290.87	$14,454.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $10,000.00	Professional		$588.84	$724.44	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $4,168.69 / $11,748.98	Professional		$562.34	$4,168.69	$11,748.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $52,480.75	Facility		$54.95	$56.23	$52,480.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $44,668.36 / $52,480.75 / $52,480.75	Professional		$44,668.36	$52,480.75	$52,480.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $8,709.64	Professional		$5,128.61	$5,128.61	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $6,606.93 / $11,748.98	Facility		$676.08	$6,606.93	$11,748.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,041.74 / $14,791.08	Professional		$724.44	$2,041.74	$14,791.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $23,988.33	Professional		$2,187.76	$2,187.76	$23,988.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $7,762.47	Professional		$549.54	$831.76	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $39,810.72	Facility		$9,549.93	$17,782.79	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $5,248.07 / $14,125.38	Professional		$630.96	$5,248.07	$14,125.38