Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $1,023.29	Professional		$223.87	$363.08	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $851.14	Professional		$190.55	$331.13	$851.14
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 $165.96 / $316.23 / $645.65	Professional		$165.96	$316.23	$645.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,819.70 / $5,754.40	Facility		$66.07	$1,819.70	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $724.44	Professional		$239.88	$380.19	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $1,202.26	Facility		$398.11	$794.33	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $676.08	Professional		$229.09	$363.08	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $676.08	Professional		$204.17	$309.03	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $741.31	Professional		$239.88	$426.58	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $19,498.45 / $19,498.45	Facility		$3,630.78	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,019.95	Professional		$2,570.40	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $501.19	Professional		$295.12	$295.12	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $371.54 / $645.65	Facility		$229.09	$371.54	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $724.44	Professional		$229.09	$371.54	$724.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,148.15	Professional		$758.58	$758.58	$1,148.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $467.74	Professional		$223.87	$338.84	$467.74
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 $194.98 / $302.00 / $588.84	Professional		$194.98	$302.00	$588.84