Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,025.60 / $16,595.87	Facility		$2,137.96	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $4,677.35	Professional		$275.42	$537.03	$4,677.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $3,467.37	Professional		$199.53	$251.19	$3,467.37
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 $467.74 / $812.83 / $1,288.25	Professional		$467.74	$812.83	$1,288.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $5,495.41	Facility		$66.07	$2,041.74	$5,495.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $1,230.27	Professional		$354.81	$616.60	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,621.81	Facility		$660.69	$891.25	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $630.96 / $4,786.30	Professional		$316.23	$630.96	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $891.25 / $4,786.30	Professional		$269.15	$891.25	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,412.54 / $5,011.87	Professional		$239.88	$1,412.54	$5,011.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,079.46	Facility		$54.95	$56.23	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $19,498.45 / $19,498.45	Professional		$16,982.44	$19,498.45	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,235.94	Professional		$1,949.84	$1,949.84	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $691.83 / $4,786.30	Facility		$275.42	$691.83	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $645.65 / $5,495.41	Professional		$309.03	$645.65	$5,495.41
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 $891.25 / $891.25 / $10,000.00	Professional		$891.25	$891.25	$10,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $4,168.69	Professional		$213.80	$295.12	$4,168.69
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 $251.19 / $562.34 / $4,073.80	Professional		$251.19	$562.34	$4,073.80