Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,912.51 / $18,620.87	Facility		$3,467.37	$8,912.51	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $1,122.02	Professional		$204.17	$363.08	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $588.84	Professional		$95.50	$177.83	$588.84
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 $208.93 / $263.03 / $501.19	Professional		$208.93	$263.03	$501.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,981.07 / $11,748.98	Facility		$66.07	$3,981.07	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $575.44	Professional		$208.93	$309.03	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,584.89 / $2,570.40	Facility		$660.69	$1,584.89	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $537.03	Professional		$204.17	$281.84	$537.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $316.23	Professional		$117.49	$223.87	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $501.19	Professional		$186.21	$234.42	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $33,884.42	Facility		$7,943.28	$7,943.28	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $1,819.70	Professional		$1,584.89	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $457.09	Facility		$204.17	$281.84	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $549.54	Professional		$204.17	$281.84	$549.54
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 $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,413.10 / $14,454.40	Facility		$3,090.30	$7,413.10	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $426.58	Professional		$165.96	$223.87	$426.58