Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,165.95 / $16,595.87	Facility		$1,174.90	$6,165.95	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $1,174.90	Professional		$162.18	$269.15	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $446.68	Professional		$181.97	$181.97	$446.68
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 $173.78 / $263.03 / $645.65	Professional		$173.78	$263.03	$645.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $7,762.47	Facility		$66.07	$2,041.74	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $588.84	Professional		$181.97	$281.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $524.81	Professional		$186.21	$281.84	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $229.09 / $398.11	Professional		$93.33	$229.09	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $537.03	Professional		$177.83	$288.40	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $28,840.32 / $28,840.32	Facility		$3,981.07	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,238.72	Professional		$1,905.46	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $371.54	Professional		$223.87	$223.87	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $251.19 / $416.87	Facility		$169.82	$251.19	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $524.81	Professional		$186.21	$281.84	$524.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $891.25	Professional		$602.56	$602.56	$891.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $316.23	Professional		$123.03	$169.82	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $457.09	Professional		$154.88	$234.42	$457.09