Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,495.41 / $15,848.93	Facility		$1,318.26	$5,495.41	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $891.25	Professional		$169.82	$323.59	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $323.59	Professional		$114.82	$165.96	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $707.95	Professional		$263.03	$380.19	$707.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,737.80 / $7,413.10	Facility		$66.07	$1,737.80	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $436.52 / $851.14	Professional		$208.93	$436.52	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $1,023.29	Facility		$537.03	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $724.44	Professional		$194.98	$331.13	$724.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $676.08	Professional		$177.83	$257.04	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $407.38 / $776.25	Professional		$158.49	$407.38	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $28,840.32	Facility		$2,884.03	$2,884.03	$28,840.32
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	52	$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	53	$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,162.28	Professional		$2,691.53	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $537.03	Professional		$316.23	$316.23	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $338.84 / $707.95	Facility		$181.97	$338.84	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $831.76	Professional		$194.98	$363.08	$831.76
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,230.27	Professional		$575.44	$575.44	$1,230.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $416.87 / $549.54	Professional		$162.18	$416.87	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,981.07 / $9,120.11	Facility		$1,778.28	$3,981.07	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $630.96	Professional		$154.88	$275.42	$630.96