Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $19,054.61	Facility		$2,398.83	$6,456.54	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $3,715.35	Professional		$380.19	$758.58	$3,715.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,479.11	Professional		$562.34	$724.44	$1,479.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $10,471.29	Facility		$66.07	$3,548.13	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $2,187.76	Professional		$407.38	$602.56	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,000.00 / $10,000.00	Facility		$7,585.78	$10,000.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $3,890.45	Professional		$426.58	$724.44	$3,890.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $4,073.80	Professional		$426.58	$537.03	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,819.70 / $4,570.88	Professional		$389.05	$1,819.70	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Facility		$28,840.32	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility	53	$5,754.40	$5,754.40	$5,754.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $18,620.87 / $18,620.87	Professional		$15,848.93	$18,620.87	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $3,090.30	Professional		$1,862.09	$1,862.09	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $691.83 / $3,890.45	Facility		$436.52	$691.83	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $851.14 / $4,786.30	Professional		$426.58	$851.14	$4,786.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $6,456.54	Professional		$1,348.96	$1,348.96	$6,456.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $2,691.53	Professional		$389.05	$707.95	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,454.40 / $32,359.37	Facility		$7,762.47	$14,454.40	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,202.26 / $2,818.38	Professional		$354.81	$1,202.26	$2,818.38