Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,079.46 / $19,498.45	Facility		$2,344.23	$7,079.46	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,995.26	Professional		$457.09	$575.44	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $501.19	Professional		$446.68	$446.68	$501.19
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 $537.03 / $812.83 / $1,621.81	Professional		$537.03	$812.83	$1,621.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,549.93	Facility		$66.07	$3,630.78	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,380.38	Professional		$467.74	$691.83	$1,380.38
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 $467.74 / $602.56 / $1,288.25	Professional		$467.74	$602.56	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $794.33	Professional		$446.68	$524.81	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $954.99	Professional		$398.11	$512.86	$954.99
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 $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $1,023.29	Facility		$489.78	$630.96	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,230.27	Professional		$446.68	$588.84	$1,230.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $1,122.02	Professional		$407.38	$724.44	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $18,197.01	Facility		$4,073.80	$7,762.47	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,318.26	Professional		$398.11	$588.84	$1,318.26