Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,585.78 / $19,952.62	Facility		$3,235.94	$7,585.78	$19,952.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $8,709.64 / $9,772.37	Facility	50	$3,890.45	$8,709.64	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $1,659.59	Professional		$354.81	$436.52	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
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 $416.87 / $588.84 / $1,174.90	Professional		$416.87	$588.84	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $10,471.29	Facility		$66.07	$4,786.30	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,023.29	Professional		$354.81	$524.81	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $977.24	Professional		$363.08	$457.09	$977.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $338.84 / $467.74	Professional		$309.03	$338.84	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $724.44	Professional		$309.03	$389.05	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $33,884.42 / $33,884.42	Facility		$9,332.54	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $478.63 / $851.14	Facility		$371.54	$478.63	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $954.99	Professional		$354.81	$446.68	$954.99
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 $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $660.69	Professional		$309.03	$426.58	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $15,135.61	Facility		$4,073.80	$7,762.47	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $977.24	Professional		$295.12	$436.52	$977.24