Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,165.95 / $16,982.44	Facility		$1,862.09	$6,165.95	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $1,778.28	Professional		$309.03	$478.63	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,348.96	Professional		$398.11	$575.44	$1,348.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,071.52 / $6,165.95	Facility		$66.07	$1,071.52	$6,165.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $1,288.25	Professional		$380.19	$524.81	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,737.80 / $2,344.23	Facility		$371.54	$1,737.80	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,096.48	Professional		$380.19	$537.03	$1,096.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $537.03 / $741.31	Professional		$208.93	$537.03	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $891.25	Professional		$416.87	$549.54	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,047.13 / $6,918.31	Facility		$56.23	$1,047.13	$6,918.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $3,801.89	Professional		$3,311.31	$3,801.89	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $575.44 / $870.96	Facility		$446.68	$575.44	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,174.90	Professional		$389.05	$562.34	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $501.19	Professional		$263.03	$371.54	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,548.82 / $6,309.57	Facility		$549.54	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $954.99	Professional		$323.59	$426.58	$954.99