Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $8,912.51 / $19,952.62	Facility		$208.93	$8,912.51	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $79.43 / $389.05	Professional		$29.51	$79.43	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $218.78	Professional		$91.20	$100.00	$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 $29.51 / $66.07 / $177.83	Professional		$29.51	$66.07	$177.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $147.91 / $1,778.28	Facility		$66.07	$147.91	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $60.26 / $123.03	Professional		$29.51	$60.26	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $67.61 / $177.83	Professional		$31.62	$67.61	$177.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $147.91	Professional		$26.30	$35.48	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $91.20 / $190.55	Professional		$27.54	$91.20	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,584.89	Facility		$54.95	$56.23	$1,584.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $831.76	Professional		$707.95	$831.76	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $138.04	Professional		$83.18	$83.18	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $58.88 / $141.25	Facility		$28.18	$58.88	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $69.18 / $181.97	Professional		$31.62	$69.18	$181.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $338.84	Professional		$112.20	$112.20	$338.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $107.15	Professional		$26.30	$37.15	$107.15
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 $27.54 / $61.66 / $141.25	Professional		$27.54	$61.66	$141.25