Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,162.28 / $13,182.57	Facility		$354.81	$3,162.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $851.14	Professional		$144.54	$239.88	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $549.54	Professional		$169.82	$269.15	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $562.34	Professional		$144.54	$208.93	$562.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $302.00 / $426.58	Professional	50	$234.42	$302.00	$426.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $229.09 / $5,754.40	Facility		$66.07	$229.09	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $467.74	Professional		$154.88	$208.93	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $446.68	Professional		$165.96	$223.87	$446.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $239.88 / $316.23	Professional		$75.86	$239.88	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $426.58	Professional		$177.83	$251.19	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,570.40	Facility		$54.95	$56.23	$2,570.40
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	54	$794.33	$794.33	$794.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $1,778.28	Professional		$1,548.82	$1,778.28	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $302.00	Professional		$181.97	$181.97	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $218.78 / $331.13	Facility		$162.18	$218.78	$331.13
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	54	$213.80	$213.80	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $457.09	Professional		$165.96	$229.09	$457.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $691.83	Professional		$602.56	$602.56	$691.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $251.19	Professional		$97.72	$181.97	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $398.11	Professional		$141.25	$190.55	$398.11