Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,760.83 / $16,982.44	Facility		$2,511.89	$6,760.83	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,995.26	Professional		$346.74	$489.78	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,174.90	Professional		$436.52	$616.60	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,089.30 / $8,317.64	Facility		$66.07	$2,089.30	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,096.48	Professional		$398.11	$575.44	$1,096.48
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 $380.19 / $489.78 / $1,071.52	Professional		$380.19	$489.78	$1,071.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $446.68	Professional		$223.87	$295.12	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $489.78	Professional		$199.53	$251.19	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $3,162.28	Professional		$2,754.23	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $741.31	Facility		$239.88	$363.08	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $1,000.00	Professional		$380.19	$489.78	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $501.19	Professional		$181.97	$295.12	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $9,772.37	Facility		$2,290.87	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $1,071.52	Professional		$302.00	$446.68	$1,071.52