Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $8,912.51 / $18,197.01	Facility		$3,388.44	$8,912.51	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,621.81	Professional		$323.59	$436.52	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $676.08	Professional		$354.81	$354.81	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,318.26	Professional		$436.52	$676.08	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,570.88 / $11,748.98	Facility		$66.07	$4,570.88	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,071.52	Professional		$371.54	$549.54	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $13,182.57 / $14,791.08	Facility		$5,011.87	$13,182.57	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $977.24	Professional		$363.08	$457.09	$977.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $630.96	Professional		$371.54	$416.87	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $794.33	Professional		$331.13	$416.87	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $45,708.82 / $45,708.82	Facility		$16,218.10	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,162.28 / $3,162.28	Professional		$2,818.38	$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 $363.08 / $478.63 / $870.96	Facility		$363.08	$478.63	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $977.24	Professional		$354.81	$457.09	$977.24
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $724.44	Professional		$302.00	$416.87	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $13,803.84 / $28,840.32	Facility		$7,762.47	$13,803.84	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $1,071.52	Professional		$295.12	$407.38	$1,071.52