Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,888.44 / $16,595.87	Facility		$1,698.24	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $1,122.02	Professional		$204.17	$346.74	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $208.93	Professional		$204.17	$208.93	$208.93
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 $363.08 / $501.19 / $776.25	Professional		$363.08	$501.19	$776.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $7,079.46	Facility		$66.07	$2,630.27	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $851.14	Professional		$371.54	$524.81	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,905.46 / $3,019.95	Facility		$446.68	$1,905.46	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $691.83	Professional		$239.88	$407.38	$691.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $467.74	Professional		$213.80	$316.23	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $575.44	Professional		$181.97	$223.87	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $19,498.45 / $19,498.45	Facility		$8,912.51	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $691.83	Facility		$218.78	$354.81	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $676.08	Professional		$239.88	$416.87	$676.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $436.52 / $676.08	Professional		$190.55	$436.52	$676.08
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 / $331.13 / $575.44	Professional		$186.21	$331.13	$575.44