Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,309.57 / $15,135.61	Facility		$1,380.38	$6,309.57	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $1,258.93	Professional		$239.88	$446.68	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $602.56	Professional		$218.78	$295.12	$602.56
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 $309.03 / $436.52 / $831.76	Professional		$309.03	$436.52	$831.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $8,128.31	Facility		$66.07	$3,548.13	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $794.33	Professional		$251.19	$380.19	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Facility		$2,137.96	$2,137.96	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $676.08	Professional		$257.04	$331.13	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $457.09	Professional		$223.87	$323.59	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $562.34	Professional		$239.88	$331.13	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $28,840.32 / $28,840.32	Facility		$9,549.93	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $2,570.40	Professional		$2,238.72	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $436.52	Professional		$263.03	$263.03	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $575.44	Facility		$275.42	$371.54	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $676.08	Professional		$251.19	$338.84	$676.08
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $933.25	Professional		$812.83	$812.83	$933.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $407.38	Professional		$223.87	$302.00	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $15,135.61	Facility		$4,073.80	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $707.95	Professional		$204.17	$295.12	$707.95