Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $4,897.79 / $15,135.61	Facility		$398.11	$4,897.79	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $346.74	Professional		$66.07	$104.71	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $218.78	Professional		$74.13	$95.50	$218.78
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 $61.66 / $89.13 / $245.47	Professional		$61.66	$89.13	$245.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $1,778.28	Facility		$66.07	$141.25	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $190.55	Professional		$74.13	$102.33	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $190.55	Professional		$67.61	$95.50	$190.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $95.50 / $138.04	Professional		$31.62	$95.50	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $181.97	Professional		$72.44	$107.15	$181.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $13,489.63	Facility		$1,995.26	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $776.25	Professional		$676.08	$776.25	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $128.82	Professional		$77.62	$77.62	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $91.20 / $141.25	Facility		$66.07	$91.20	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $199.53	Professional		$69.18	$95.50	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $295.12	Professional		$245.47	$245.47	$295.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $102.33	Professional		$33.11	$53.70	$102.33
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 $58.88 / $79.43 / $165.96	Professional		$58.88	$79.43	$165.96