Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,715.19 / $23,988.33	Facility		$3,981.07	$10,715.19	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,380.38 / $3,981.07	Professional		$707.95	$1,380.38	$3,981.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,445.44	Professional		$660.69	$660.69	$1,445.44
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 $870.96 / $2,238.72 / $5,128.61	Professional		$870.96	$2,238.72	$5,128.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,754.40 / $22,908.68	Facility		$66.07	$5,754.40	$22,908.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $5,248.07	Professional		$1,698.24	$2,691.53	$5,248.07
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 $707.95 / $1,737.80 / $3,801.89	Professional		$707.95	$1,737.80	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $602.56 / $891.25	Professional		$588.84	$602.56	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,318.26	Professional		$501.19	$660.69	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $50,118.72 / $50,118.72	Facility		$14,454.40	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $16,982.44	Professional		$13,182.57	$13,182.57	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,238.72	Professional		$1,348.96	$1,348.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,023.29 / $3,467.37	Facility		$645.65	$1,023.29	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,737.80 / $3,981.07	Professional		$707.95	$1,737.80	$3,981.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $5,623.41	Professional		$2,238.72	$2,238.72	$5,623.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,258.93	Professional		$549.54	$812.83	$1,258.93
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 / $1,479.11 / $3,981.07	Professional		$630.96	$1,479.11	$3,981.07