Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,888.44 / $16,595.87	Facility		$1,318.26	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $1,096.48	Professional		$229.09	$457.09	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $208.93	Professional		$181.97	$194.98	$208.93
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 $331.13 / $549.54 / $912.01	Professional		$331.13	$549.54	$912.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,905.46 / $7,413.10	Facility		$66.07	$1,905.46	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $1,000.00	Professional		$295.12	$524.81	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $1,621.81	Facility		$537.03	$794.33	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $891.25	Professional		$263.03	$467.74	$891.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $891.25	Professional		$223.87	$371.54	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $501.19 / $977.24	Professional		$204.17	$501.19	$977.24
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 Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $4,073.80	Professional		$3,467.37	$4,073.80	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $676.08	Professional		$407.38	$407.38	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $512.86 / $912.01	Facility		$239.88	$512.86	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $1,000.00	Professional		$263.03	$489.78	$1,000.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,584.89	Professional		$741.31	$741.31	$1,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $575.44 / $776.25	Professional		$204.17	$575.44	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $9,120.11	Facility		$1,862.09	$3,981.07	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $407.38 / $776.25	Professional		$208.93	$407.38	$776.25