Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,025.60 / $16,982.44	Facility		$1,548.82	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $436.52	Professional		$70.79	$134.90	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $223.87	Professional		$75.86	$128.82	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $288.40	Professional		$67.61	$114.82	$288.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $660.69 / $5,754.40	Facility		$66.07	$660.69	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $257.04	Professional		$72.44	$120.23	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $239.88	Professional		$79.43	$125.89	$239.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $190.55	Professional		$57.54	$104.71	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $251.19	Professional		$81.28	$138.04	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $13,489.63 / $13,489.63	Facility		$2,041.74	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,071.52	Professional		$912.01	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $177.83	Professional		$107.15	$107.15	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $199.53	Facility		$70.79	$117.49	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $245.47	Professional		$79.43	$128.82	$245.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $416.87	Professional		$269.15	$269.15	$416.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $141.25	Professional		$60.26	$87.10	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,951.21 / $7,943.28	Facility		$1,412.54	$2,951.21	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $208.93	Professional		$64.57	$104.71	$208.93