Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,309.57 / $16,595.87	Facility		$2,511.89	$6,309.57	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $1,096.48	Professional		$194.98	$288.40	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $645.65	Professional		$239.88	$338.84	$645.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $7,413.10	Facility		$66.07	$3,388.44	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $616.60	Professional		$208.93	$309.03	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $575.44	Professional		$208.93	$269.15	$575.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $269.15	Professional		$125.89	$190.55	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $426.58	Professional		$181.97	$229.09	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $28,840.32 / $28,840.32	Facility		$5,495.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $269.15 / $407.38	Facility		$213.80	$269.15	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $549.54	Professional		$204.17	$263.03	$549.54
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $269.15	Professional		$158.49	$190.55	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,549.93	Facility		$2,344.23	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $588.84	Professional		$173.78	$257.04	$588.84