Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,888.44 / $16,218.10	Facility		$2,137.96	$5,888.44	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $2,630.27	Professional		$501.19	$758.58	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $660.69 / $1,023.29	Professional		$645.65	$660.69	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,862.09	Professional		$724.44	$933.25	$1,862.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $7,413.10	Facility		$66.07	$3,388.44	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,513.56	Professional		$512.86	$741.31	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,548.82	Professional		$524.81	$741.31	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $933.25	Professional		$446.68	$691.83	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,258.93	Professional		$549.54	$724.44	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $28,840.32	Facility		$5,248.07	$5,248.07	$28,840.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $758.58 / $1,174.90	Facility		$588.84	$758.58	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,548.82	Professional		$512.86	$758.58	$1,548.82
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $954.99	Professional		$562.34	$676.08	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $15,135.61	Facility		$3,981.07	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,318.26	Professional		$457.09	$602.56	$1,318.26