Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,309.57 / $17,782.79	Facility		$1,862.09	$6,309.57	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $602.56 / $1,445.44	Professional		$263.03	$602.56	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $229.09	Professional		$213.80	$213.80	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,000.00	Professional		$398.11	$616.60	$1,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,380.38 / $7,762.47	Facility		$66.07	$1,380.38	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $1,288.25	Professional		$363.08	$660.69	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $891.25 / $1,202.26	Facility		$537.03	$891.25	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $588.84 / $1,202.26	Professional		$302.00	$588.84	$1,202.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $1,148.15	Professional		$257.04	$416.87	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $660.69 / $1,348.96	Professional		$229.09	$660.69	$1,348.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $28,840.32	Facility		$3,630.78	$3,630.78	$28,840.32
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	53	$724.44	$724.44	$724.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $5,495.41	Professional		$4,677.35	$5,495.41	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $912.01	Professional		$549.54	$549.54	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $645.65 / $1,230.27	Facility		$275.42	$645.65	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $602.56 / $1,380.38	Professional		$295.12	$602.56	$1,380.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,344.23	Professional		$851.14	$851.14	$2,344.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $676.08 / $891.25	Professional		$234.42	$676.08	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $9,549.93	Facility		$1,778.28	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $537.03 / $1,071.52	Professional		$239.88	$537.03	$1,071.52