Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,606.93 / $16,982.44	Facility		$2,290.87	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $933.25 / $2,344.23	Professional		$199.53	$933.25	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $457.09	Professional		$75.86	$173.78	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,819.70 / $3,311.31	Professional		$257.04	$1,819.70	$3,311.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,511.38	Facility		$66.07	$3,388.44	$8,511.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,174.90 / $3,548.13	Professional		$269.15	$1,174.90	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,995.26 / $3,235.94	Facility		$660.69	$1,995.26	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $933.25 / $2,630.27	Professional		$239.88	$933.25	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $1,659.59	Professional		$190.55	$234.42	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $912.01 / $1,778.28	Professional		$173.78	$912.01	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,549.93	Facility		$54.95	$56.23	$9,549.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,943.28 / $7,943.28	Professional		$7,762.47	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,348.96	Professional		$794.33	$794.33	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $891.25 / $2,187.76	Facility		$204.17	$891.25	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $912.01 / $2,630.27	Professional		$239.88	$912.01	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $4,073.80	Professional		$660.69	$660.69	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $1,174.90	Professional		$173.78	$275.42	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,549.93 / $20,892.96	Facility		$4,073.80	$9,549.93	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $776.25 / $2,187.76	Professional		$186.21	$776.25	$2,187.76