Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,165.95 / $16,595.87	Facility		$1,862.09	$6,165.95	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $812.83 / $2,344.23	Professional		$199.53	$812.83	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $363.08	Professional		$323.59	$323.59	$363.08
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 $281.84 / $446.68 / $2,089.30	Professional		$281.84	$446.68	$2,089.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,995.26 / $8,128.31	Facility		$66.07	$1,995.26	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $870.96 / $2,344.23	Professional		$245.47	$870.96	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $2,238.72	Facility		$537.03	$1,023.29	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $549.54 / $1,778.28	Professional		$234.42	$549.54	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $912.01 / $1,318.26	Professional		$194.98	$912.01	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $758.58 / $1,479.11	Professional		$177.83	$758.58	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,897.79	Facility		$54.95	$56.23	$4,897.79
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	52	$3,890.45	$3,890.45	$3,890.45
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	53	$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,760.83 / $6,760.83	Professional		$6,165.95	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,122.02	Professional		$676.08	$676.08	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $776.25 / $1,698.24	Facility		$208.93	$776.25	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $524.81 / $1,949.84	Professional		$229.09	$524.81	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $3,162.28	Professional		$676.08	$676.08	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $912.01 / $1,548.82	Professional		$177.83	$912.01	$1,548.82
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 $186.21 / $660.69 / $1,548.82	Professional		$186.21	$660.69	$1,548.82