Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $38,904.51 / $75,857.76	Facility		$1,000.00	$38,904.51	$75,857.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $389.05 / $2,818.38	Professional		$190.55	$389.05	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,481.54 / $23,442.29	Facility		$6,025.60	$11,481.54	$23,442.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $724.44	Professional		$239.88	$363.08	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $234.42 / $794.33	Facility		$58.88	$234.42	$794.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $134.90 / $309.03	Professional		$37.15	$134.90	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32,359.37 / $41,686.94 / $53,703.18	Facility		$32,359.37	$41,686.94	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $575.44	Professional		$213.80	$269.15	$575.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $239.88	Professional		$144.54	$199.53	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $446.68	Professional		$177.83	$234.42	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,318.26	Facility		$54.95	$56.23	$1,318.26
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	AS	$131.83	$131.83	$131.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $1,949.84	Professional		$1,862.09	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $263.03 / $501.19	Facility		$199.53	$263.03	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $575.44	Professional		$208.93	$269.15	$575.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $245.47	Professional		$144.54	$186.21	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $9,772.37	Facility		$2,290.87	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $602.56	Professional		$181.97	$251.19	$602.56