Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,025.60 / $16,595.87	Facility		$1,698.24	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $588.84	Professional		$104.71	$199.53	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $281.84	Professional		$114.82	$125.89	$281.84
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 $154.88 / $239.88 / $588.84	Professional		$154.88	$239.88	$588.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $537.03 / $5,754.40	Facility		$66.07	$537.03	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $478.63	Professional		$138.04	$223.87	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $478.63	Professional		$154.88	$245.47	$478.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $354.81	Professional		$85.11	$177.83	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $467.74	Professional		$141.25	$257.04	$467.74
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 $1,778.28 / $2,041.74 / $2,041.74	Professional		$1,778.28	$2,041.74	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $338.84	Professional		$204.17	$204.17	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $371.54	Facility		$134.90	$218.78	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $467.74	Professional		$154.88	$245.47	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $812.83	Professional		$537.03	$537.03	$812.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $263.03	Professional		$87.10	$138.04	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $6,760.83	Facility		$588.84	$1,548.82	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $416.87	Professional		$134.90	$204.17	$416.87