Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,309.57 / $16,595.87	Facility		$2,238.72	$6,309.57	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $870.96 / $3,090.30	Professional		$114.82	$870.96	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $158.49 / $186.21	Professional		$53.70	$158.49	$186.21
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 $213.80 / $1,949.84 / $3,162.28	Professional		$213.80	$1,949.84	$3,162.28
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 $138.04 / $758.58 / $2,187.76	Professional		$138.04	$758.58	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $416.87 / $2,137.96	Professional		$134.90	$416.87	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $912.01 / $1,995.26	Professional		$114.82	$912.01	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $1,122.02 / $2,290.87	Professional		$104.71	$1,122.02	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,715.35	Facility		$54.95	$56.23	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,232.93 / $10,232.93	Professional		$8,511.38	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,659.59	Professional		$1,000.00	$1,000.00	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $870.96 / $2,187.76	Facility		$117.49	$870.96	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $380.19 / $2,454.71	Professional		$134.90	$380.19	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $3,981.07	Professional		$389.05	$389.05	$3,981.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $1,288.25 / $1,659.59	Professional		$104.71	$1,288.25	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $7,585.78	Facility		$1,047.13	$2,754.23	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $776.25 / $1,737.80	Professional		$107.15	$776.25	$1,737.80