Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.45 / $5,675.72 / $14,970.00	Facility		$1,008.45	$5,675.72	$14,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.84 / $462.01 / $1,780.32	Professional		$237.84	$462.01	$1,780.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $662.12 / $662.12 / $662.12	Professional		$662.12	$662.12	$662.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.51 / $508.61 / $1,052.82	Professional		$272.51	$508.61	$1,052.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,848.26	Facility		$66.70	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $482.81 / $968.22	Professional		$258.14	$482.81	$968.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.92 / $446.17 / $1,053.81	Professional		$238.92	$446.17	$1,053.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $260.61 / $326.58 / $492.98	Professional		$260.61	$326.58	$492.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.92 / $365.96 / $629.54	Professional		$235.92	$365.96	$629.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.59 / $1,172.68 / $16,394.00	Facility		$1,084.59	$1,172.68	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.48 / $1,942.28 / $3,132.62	Professional		$1,690.48	$1,942.28	$3,132.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.62 / $394.63 / $679.11	Facility		$231.62	$394.63	$679.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.25 / $457.55 / $1,010.00	Professional		$244.25	$457.55	$1,010.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,957.00 / $3,957.00 / $3,957.00	Facility		$3,957.00	$3,957.00	$3,957.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $748.83 / $748.83 / $1,202.05	Professional		$748.83	$748.83	$1,202.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.85 / $328.65 / $460.11	Professional		$219.85	$328.65	$460.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,106.00 / $16,148.00	Facility		$3,610.00	$7,106.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $470.11 / $1,100.53	Professional		$299.27	$470.11	$1,100.53