Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,897.79 / $14,125.38	Facility		$1,071.52	$4,897.79	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $331.13 / $1,778.28	Professional		$141.25	$331.13	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $1,122.02	Professional		$123.03	$162.18	$1,122.02
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 $229.09 / $331.13 / $1,819.70	Professional		$229.09	$331.13	$1,819.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,290.87 / $7,413.10	Facility		$66.07	$2,290.87	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $831.76 / $2,344.23	Professional		$181.97	$831.76	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $2,238.72	Facility		$537.03	$1,023.29	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $1,995.26	Professional		$169.82	$309.03	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $1,949.84	Professional		$154.88	$223.87	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $758.58 / $2,187.76	Professional		$138.04	$758.58	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $28,840.32	Facility		$4,897.79	$4,897.79	$28,840.32
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	52	$3,890.45	$3,890.45	$3,890.45
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	53	$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $8,709.64	Professional		$7,413.10	$8,709.64	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,445.44	Professional		$870.96	$870.96	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $1,949.84	Facility		$158.49	$302.00	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $2,290.87	Professional		$169.82	$331.13	$2,290.87
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $3,715.35	Professional		$501.19	$501.19	$3,715.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $363.08 / $1,348.96	Professional		$141.25	$363.08	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,265.80 / $9,120.11	Facility		$1,862.09	$4,265.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $1,621.81	Professional		$134.90	$269.15	$1,621.81