Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,754.40 / $16,595.87	Facility		$1,096.48	$5,754.40	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $1,778.28	Professional		$204.17	$467.74	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $524.81	Professional		$380.19	$426.58	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $457.09 / $1,000.00	Professional		$199.53	$457.09	$1,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $436.52 / $5,888.44	Facility		$64.57	$436.52	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $758.58	Professional		$181.97	$380.19	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $758.58	Professional		$194.98	$389.05	$758.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $346.74 / $602.56	Professional		$169.82	$346.74	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $407.38 / $794.33	Professional		$154.88	$407.38	$794.33
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 $2,951.21 / $3,467.37 / $3,467.37	Professional		$2,951.21	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $575.44	Professional		$346.74	$346.74	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $346.74 / $645.65	Facility		$158.49	$346.74	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $758.58	Professional		$194.98	$389.05	$758.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,318.26	Professional		$630.96	$630.96	$1,318.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $446.68 / $588.84	Professional		$154.88	$446.68	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $645.65	Professional		$165.96	$316.23	$645.65