Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,606.93 / $16,982.44	Facility		$2,238.72	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $602.56 / $1,698.24	Professional		$229.09	$602.56	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $245.47	Professional		$102.33	$213.80	$245.47
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 $316.23 / $436.52 / $1,318.26	Professional		$316.23	$436.52	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,479.11 / $5,754.40	Facility		$66.07	$1,479.11	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $691.83 / $1,445.44	Professional		$263.03	$691.83	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,202.26	Facility		$660.69	$891.25	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $676.08 / $1,698.24	Professional		$257.04	$676.08	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $891.25 / $1,584.89	Professional		$234.42	$891.25	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $870.96 / $1,698.24	Professional		$208.93	$870.96	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,630.78	Facility		$54.95	$56.23	$3,630.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,760.83 / $6,760.83	Professional		$5,623.41	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,122.02	Professional		$676.08	$676.08	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $630.96 / $1,548.82	Facility		$239.88	$630.96	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $630.96 / $2,041.74	Professional		$257.04	$630.96	$2,041.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $2,630.27	Professional		$758.58	$758.58	$2,630.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $1,348.96	Professional		$190.55	$257.04	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $588.84 / $1,202.26	Professional		$213.80	$588.84	$1,202.26