Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,912.51 / $23,442.29	Facility		$3,467.37	$8,912.51	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $3,548.13	Professional		$758.58	$933.25	$3,548.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $977.24	Professional		$512.86	$758.58	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,630.27	Professional		$954.99	$1,348.96	$2,630.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $13,489.63	Facility		$66.07	$5,128.61	$13,489.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,137.96	Professional		$724.44	$1,047.13	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $2,089.30	Professional		$741.31	$977.24	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,412.54	Professional		$602.56	$741.31	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,288.25	Professional		$501.19	$660.69	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $33,884.42 / $33,884.42	Facility		$14,454.40	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility	52	$11,481.54	$11,481.54	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,025.60 / $6,025.60	Professional		$5,248.07	$6,025.60	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $1,698.24	Facility		$630.96	$933.25	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,995.26	Professional		$676.08	$977.24	$1,995.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,584.89	Professional		$537.03	$1,047.13	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $2,089.30	Professional		$630.96	$954.99	$2,089.30