Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $19,952.62	Facility		$3,548.13	$8,912.51	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $977.24	Professional		$229.09	$309.03	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
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 $245.47 / $323.59 / $602.56	Professional		$245.47	$323.59	$602.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $10,964.78	Facility		$66.07	$3,548.13	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $676.08	Professional		$251.19	$363.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,659.59 / $2,630.27	Facility		$660.69	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $616.60	Professional		$245.47	$323.59	$616.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $354.81	Professional		$117.49	$223.87	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $575.44	Professional		$208.93	$263.03	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,089.30	Professional		$1,819.70	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $323.59 / $524.81	Facility		$234.42	$323.59	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $630.96	Professional		$239.88	$331.13	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $269.15	Professional		$147.91	$208.93	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $15,135.61	Facility		$3,090.30	$7,244.36	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $501.19	Professional		$194.98	$263.03	$501.19