Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,888.44 / $15,848.93	Facility		$1,202.26	$5,888.44	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $724.44	Professional		$79.43	$165.96	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $162.18	Professional		$83.18	$89.13	$162.18
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 $123.03 / $177.83 / $457.09	Professional		$123.03	$177.83	$457.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,318.26 / $5,754.40	Facility		$66.07	$1,318.26	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $380.19	Professional		$120.23	$177.83	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $354.81	Professional		$128.82	$186.21	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $263.03	Professional		$74.13	$165.96	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $354.81	Professional		$128.82	$199.53	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $13,489.63 / $13,489.63	Facility		$2,691.53	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,513.56	Professional		$1,288.25	$1,513.56	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $251.19	Professional		$151.36	$151.36	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $275.42	Facility		$120.23	$173.78	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $363.08	Professional		$128.82	$190.55	$363.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $588.84	Professional		$446.68	$446.68	$588.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $194.98	Professional		$77.62	$123.03	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,019.95 / $7,943.28	Facility		$1,479.11	$3,019.95	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $323.59	Professional		$109.65	$158.49	$323.59