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 / $16,982.44	Facility		$2,398.83	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $2,398.83	Professional		$489.78	$724.44	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,819.70	Professional		$588.84	$831.76	$1,819.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,454.71 / $7,762.47	Facility		$66.07	$2,454.71	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,862.09	Professional		$489.78	$812.83	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,445.44 / $1,995.26	Facility		$501.19	$1,445.44	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,513.56	Professional		$524.81	$812.83	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,318.26	Professional		$446.68	$724.44	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,445.44	Professional		$501.19	$794.33	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $28,840.32 / $28,840.32	Facility		$5,754.40	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,165.95 / $6,165.95	Professional		$5,370.32	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,047.13	Professional		$630.96	$630.96	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,318.26	Facility		$524.81	$812.83	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,584.89	Professional		$524.81	$831.76	$1,584.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,511.89	Professional		$1,819.70	$1,819.70	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $954.99	Professional		$478.63	$724.44	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,413.10 / $15,135.61	Facility		$3,715.35	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,380.38	Professional		$457.09	$660.69	$1,380.38