Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,888.44 / $16,595.87	Facility		$1,584.89	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $724.44	Professional		$112.20	$194.98	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $190.55 / $331.13	Professional		$177.83	$190.55	$331.13
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 $131.83 / $218.78 / $457.09	Professional		$131.83	$218.78	$457.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $223.87 / $5,754.40	Facility		$66.07	$223.87	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $389.05	Professional		$114.82	$177.83	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $371.54	Professional		$123.03	$190.55	$371.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $275.42	Professional		$69.18	$131.83	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $371.54	Professional		$107.15	$199.53	$371.54
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 $1,412.54 / $1,621.81 / $1,621.81	Professional		$1,412.54	$1,621.81	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $269.15	Professional		$162.18	$162.18	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $173.78 / $288.40	Facility		$107.15	$173.78	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $371.54	Professional		$123.03	$190.55	$371.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $630.96	Professional		$407.38	$407.38	$630.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $208.93	Professional		$72.44	$107.15	$208.93
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 $102.33 / $162.18 / $323.59	Professional		$102.33	$162.18	$323.59