Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $588.84	Professional		$131.83	$208.93	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
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 $151.36 / $251.19 / $562.34	Professional		$151.36	$251.19	$562.34
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 $147.91 / $234.42 / $489.78	Professional		$147.91	$234.42	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $457.09	Professional		$154.88	$239.88	$457.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $346.74	Professional		$158.49	$204.17	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $457.09	Professional		$141.25	$251.19	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $13,489.63	Facility		$1,995.26	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $1,995.26	Professional		$1,698.24	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $331.13	Professional		$199.53	$199.53	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $363.08	Facility		$138.04	$223.87	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $457.09	Professional		$154.88	$245.47	$457.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $794.33	Professional		$512.86	$512.86	$794.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $338.84	Professional		$141.25	$234.42	$338.84
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 $128.82 / $204.17 / $398.11	Professional		$128.82	$204.17	$398.11