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 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $234.42	Professional		$38.90	$45.71	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $45.71	Professional		$35.48	$35.48	$45.71
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 $41.69 / $64.57 / $154.88	Professional		$41.69	$64.57	$154.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $5,754.40	Facility		$66.07	$104.71	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $134.90	Professional		$47.86	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $123.03	Professional		$43.65	$56.23	$123.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $56.23	Professional		$41.69	$45.71	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $89.13	Professional		$35.48	$46.77	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,348.96	Facility		$54.95	$56.23	$1,348.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $645.65	Professional		$575.44	$575.44	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $51.29 / $117.49	Facility		$38.02	$51.29	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $123.03	Professional		$43.65	$56.23	$123.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
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 $36.31 / $47.86 / $100.00	Professional		$36.31	$47.86	$100.00