Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $8,709.64 / $18,197.01	Facility		$2,238.72	$8,709.64	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $912.01 / $4,168.69	Professional		$302.00	$912.01	$4,168.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $234.42	Professional		$186.21	$186.21	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,737.80 / $5,370.32	Professional		$426.58	$1,737.80	$5,370.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $11,748.98	Facility		$66.07	$5,128.61	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,288.25 / $3,630.78	Professional		$389.05	$1,288.25	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,011.87	Facility		$2,818.38	$3,311.31	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,621.81 / $4,365.16	Professional		$302.00	$1,621.81	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,698.24 / $3,311.31	Professional		$234.42	$1,698.24	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,548.82 / $3,890.45	Professional		$218.78	$1,548.82	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $50,118.72 / $50,118.72	Facility		$12,589.25	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $16,595.87 / $16,595.87	Professional		$14,454.40	$16,595.87	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,818.38	Professional		$1,698.24	$1,698.24	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,148.15 / $3,548.13	Facility		$263.03	$1,148.15	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $851.14 / $4,466.84	Professional		$302.00	$851.14	$4,466.84
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $6,606.93	Professional		$794.33	$794.33	$6,606.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $2,238.72 / $3,090.30	Professional		$213.80	$2,238.72	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,232.93 / $20,892.96	Facility		$5,623.41	$10,232.93	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,348.96 / $3,801.89	Professional		$251.19	$1,348.96	$3,801.89