Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $19,952.62	Facility		$3,715.35	$8,912.51	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,862.09	Professional		$389.05	$575.44	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,122.02	Professional		$363.08	$549.54	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,584.89	Professional		$512.86	$724.44	$1,584.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,311.31 / $12,022.64	Facility		$66.07	$3,311.31	$12,022.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $1,659.59	Professional		$426.58	$724.44	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $1,995.26	Facility		$794.33	$1,445.44	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,318.26	Professional		$467.74	$707.95	$1,318.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,174.90	Professional		$398.11	$630.96	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,258.93	Professional		$436.52	$707.95	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $42,657.95 / $42,657.95	Facility		$5,754.40	$42,657.95	$42,657.95
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility	54	$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,495.41 / $5,495.41	Professional		$4,786.30	$5,495.41	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $933.25	Professional		$549.54	$549.54	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $1,148.15	Facility		$467.74	$724.44	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,380.38	Professional		$467.74	$724.44	$1,380.38
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,187.76	Professional		$1,584.89	$1,584.89	$2,187.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $851.14	Professional		$407.38	$660.69	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $15,135.61	Facility		$3,890.45	$7,244.36	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,174.90	Professional		$389.05	$575.44	$1,174.90