Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $8,912.51 / $19,952.62	Facility		$478.63	$8,912.51	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $104.71 / $426.58	Professional		$54.95	$104.71	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $316.23	Professional		$75.86	$134.90	$316.23
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 $64.57 / $117.49 / $281.84	Professional		$64.57	$117.49	$281.84
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 $66.07 / $104.71 / $234.42	Professional		$66.07	$104.71	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $257.04	Professional		$64.57	$114.82	$257.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $194.98	Professional		$39.81	$61.66	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $131.83 / $257.04	Professional		$51.29	$131.83	$257.04
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 $977.24 / $1,148.15 / $1,148.15	Professional		$977.24	$1,148.15	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $204.17	Facility		$53.70	$102.33	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $263.03	Professional		$64.57	$114.82	$263.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $478.63	Professional		$213.80	$213.80	$478.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $144.54	Professional		$41.69	$57.54	$144.54
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 $53.70 / $104.71 / $213.80	Professional		$53.70	$104.71	$213.80