Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $446.68	Professional		$120.23	$218.78	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $234.42	Professional		$109.65	$144.54	$234.42
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 $162.18 / $257.04 / $602.56	Professional		$162.18	$257.04	$602.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $977.24 / $5,754.40	Facility		$66.07	$977.24	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $501.19	Professional		$144.54	$229.09	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $489.78	Professional		$162.18	$257.04	$489.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $363.08	Professional		$165.96	$199.53	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $478.63	Professional		$147.91	$263.03	$478.63
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 $1,819.70 / $2,137.96 / $2,137.96	Professional		$1,819.70	$2,137.96	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $354.81	Professional		$213.80	$213.80	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $234.42 / $380.19	Facility		$147.91	$234.42	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $489.78	Professional		$162.18	$257.04	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $851.14	Professional		$562.34	$562.34	$851.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $354.81	Professional		$151.36	$234.42	$354.81
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 $141.25 / $213.80 / $436.52	Professional		$141.25	$213.80	$436.52