Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,595.87	Facility		$1,737.80	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $794.33	Professional		$125.89	$251.19	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $338.84	Professional		$134.90	$154.88	$338.84
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 $213.80 / $302.00 / $741.31	Professional		$213.80	$302.00	$741.31
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 $213.80 / $309.03 / $676.08	Professional		$213.80	$309.03	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $588.84	Professional		$213.80	$302.00	$588.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $257.04 / $416.87	Professional		$123.03	$257.04	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $562.34	Professional		$208.93	$316.23	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $19,498.45 / $19,498.45	Facility		$3,981.07	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,398.83	Professional		$2,041.74	$2,398.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $398.11	Professional		$239.88	$239.88	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $436.52	Facility		$204.17	$295.12	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $588.84	Professional		$213.80	$302.00	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $933.25	Professional		$741.31	$741.31	$933.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $309.03	Professional		$128.82	$199.53	$309.03
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 $186.21 / $257.04 / $512.86	Professional		$186.21	$257.04	$512.86