Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,760.83 / $17,782.79	Facility		$2,238.72	$6,760.83	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $1,737.80	Professional		$281.84	$489.78	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $537.03	Professional		$257.04	$309.03	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $912.01	Professional		$323.59	$457.09	$912.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $8,511.38	Facility		$66.07	$3,890.45	$8,511.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $912.01	Professional		$295.12	$478.63	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,659.59 / $3,548.13	Facility		$616.60	$1,659.59	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $912.01	Professional		$316.23	$489.78	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $416.87 / $891.25	Professional		$204.17	$416.87	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $1,000.00	Professional		$323.59	$562.34	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $45,708.82	Facility		$7,943.28	$7,943.28	$45,708.82
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 $331.13 / $512.86 / $870.96	Facility		$331.13	$512.86	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $1,000.00	Professional		$316.23	$501.19	$1,000.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,584.89	Professional		$1,047.13	$1,047.13	$1,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $588.84	Professional		$257.04	$346.74	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,244.36 / $15,135.61	Facility		$2,951.21	$7,244.36	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $812.83	Professional		$275.42	$416.87	$812.83