Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,456.54 / $16,595.87	Facility		$2,238.72	$6,456.54	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $478.63	Professional		$87.10	$138.04	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
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 $89.13 / $131.83 / $371.54	Professional		$89.13	$131.83	$371.54
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 $95.50 / $147.91 / $309.03	Professional		$95.50	$147.91	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $288.40	Professional		$102.33	$147.91	$288.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $213.80	Professional		$64.57	$134.90	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $281.84	Professional		$104.71	$162.18	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $13,489.63 / $13,489.63	Facility		$2,187.76	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,202.26	Professional		$1,023.29	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $199.53	Professional		$120.23	$120.23	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $223.87	Facility		$93.33	$138.04	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $295.12	Professional		$102.33	$147.91	$295.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $467.74	Professional		$338.84	$338.84	$467.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $158.49	Professional		$67.61	$104.71	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $7,943.28	Facility		$1,479.11	$2,951.21	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $251.19	Professional		$83.18	$120.23	$251.19