Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $16,595.87	Facility		$1,737.80	$6,456.54	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $1,096.48	Professional		$165.96	$338.84	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $316.23	Professional		$61.66	$74.13	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $870.96	Professional		$245.47	$371.54	$870.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $6,606.93	Facility		$66.07	$2,754.23	$6,606.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $660.69	Professional		$208.93	$316.23	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $5,011.87	Facility		$2,137.96	$2,511.89	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $660.69	Professional		$186.21	$288.40	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $524.81	Professional		$147.91	$186.21	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $323.59 / $630.96	Professional		$138.04	$323.59	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $19,498.45 / $19,498.45	Facility		$9,549.93	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	53	$1,905.46	$1,905.46	$1,905.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $2,884.03	Professional		$2,454.71	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $501.19	Professional		$302.00	$302.00	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $316.23 / $562.34	Facility		$165.96	$316.23	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $707.95	Professional		$181.97	$288.40	$707.95
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,071.52	Professional		$489.78	$489.78	$1,071.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $389.05	Professional		$134.90	$223.87	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,413.10 / $15,135.61	Facility		$4,265.80	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $630.96	Professional		$147.91	$263.03	$630.96