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 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $467.74	Professional		$85.11	$141.25	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
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 $100.00 / $154.88 / $346.74	Professional		$100.00	$154.88	$346.74
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 $89.13 / $138.04 / $302.00	Professional		$89.13	$138.04	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $288.40	Professional		$95.50	$147.91	$288.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $104.71 / $218.78	Professional		$47.86	$104.71	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $288.40	Professional		$85.11	$154.88	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,258.93	Professional		$1,096.48	$1,258.93	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $208.93	Professional		$125.89	$125.89	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $229.09	Facility		$83.18	$131.83	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $288.40	Professional		$95.50	$151.36	$288.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $489.78	Professional		$316.23	$316.23	$489.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $162.18	Professional		$50.12	$79.43	$162.18
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 $79.43 / $125.89 / $251.19	Professional		$79.43	$125.89	$251.19