Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $19,054.61	Facility		$3,715.35	$9,549.93	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $1,288.25	Professional		$257.04	$371.54	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $239.88	Professional		$223.87	$223.87	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $660.69	Professional		$269.15	$354.81	$660.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,073.80 / $12,882.50	Facility		$66.07	$4,073.80	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $741.31	Professional		$269.15	$389.05	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,467.37 / $7,413.10	Facility		$660.69	$3,467.37	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $660.69	Professional		$257.04	$346.74	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $398.11	Professional		$169.82	$288.40	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $707.95	Professional		$234.42	$288.40	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $33,884.42	Facility		$16,595.87	$16,595.87	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,290.87	Professional		$1,995.26	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $354.81 / $588.84	Facility		$257.04	$354.81	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $691.83	Professional		$257.04	$354.81	$691.83
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,413.10 / $14,454.40	Facility		$3,162.28	$7,413.10	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $537.03	Professional		$208.93	$281.84	$537.03