Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,888.44 / $16,595.87	Facility		$933.25	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $478.63	Professional		$54.95	$93.33	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
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 $74.13 / $120.23 / $257.04	Professional		$74.13	$120.23	$257.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $117.49 / $1,778.28	Facility		$66.07	$117.49	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $251.19	Professional		$81.28	$117.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $186.21	Professional		$60.26	$100.00	$186.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $144.54	Professional		$52.48	$77.62	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $186.21	Professional		$46.77	$95.50	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $794.33	Professional		$676.08	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $131.83	Professional		$79.43	$79.43	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $97.72 / $151.36	Facility		$50.12	$97.72	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $181.97	Professional		$60.26	$102.33	$181.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $309.03	Professional		$181.97	$181.97	$309.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $144.54	Professional		$48.98	$104.71	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $162.18	Professional		$50.12	$87.10	$162.18