Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $9,332.54 / $18,620.87	Facility		$3,548.13	$9,332.54	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $1,905.46	Professional		$346.74	$512.86	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,174.90	Professional		$426.58	$588.84	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,090.30 / $12,302.69	Facility		$66.07	$3,090.30	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,122.02	Professional		$380.19	$562.34	$1,122.02
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 $371.54 / $467.74 / $954.99	Professional		$371.54	$467.74	$954.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $602.56	Professional		$354.81	$426.58	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $776.25	Professional		$323.59	$446.68	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $42,657.95 / $42,657.95	Facility		$9,549.93	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $3,715.35	Professional		$3,019.95	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,148.15	Professional		$691.83	$691.83	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $512.86 / $741.31	Facility		$371.54	$512.86	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $1,000.00	Professional		$363.08	$478.63	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Professional		$1,174.90	$1,174.90	$1,288.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $602.56	Professional		$323.59	$426.58	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $977.24	Professional		$316.23	$446.68	$977.24