Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,079.46 / $16,595.87	Facility		$2,511.89	$7,079.46	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $1,288.25	Professional		$229.09	$323.59	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $512.86	Professional		$229.09	$389.05	$512.86
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 / $912.01	Professional		$281.84	$446.68	$912.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $8,317.64	Facility		$66.07	$3,630.78	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $707.95	Professional		$257.04	$371.54	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Facility		$2,089.30	$2,089.30	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $676.08	Professional		$245.47	$316.23	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $380.19	Professional		$239.88	$251.19	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $524.81	Professional		$213.80	$269.15	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $28,840.32 / $28,840.32	Facility		$9,332.54	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $549.54	Facility		$251.19	$331.13	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $660.69	Professional		$239.88	$316.23	$660.69
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $478.63	Professional		$218.78	$331.13	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $15,135.61	Facility		$4,073.80	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $676.08	Professional		$204.17	$302.00	$676.08