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 $169.82 / $371.54 / $1,023.29	Professional		$169.82	$371.54	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $954.99	Professional		$389.05	$389.05	$954.99
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 $186.21 / $426.58 / $912.01	Professional		$186.21	$426.58	$912.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $5,888.44	Facility		$64.57	$100.00	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $354.81 / $707.95	Professional		$169.82	$354.81	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $724.44	Professional		$177.83	$363.08	$724.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $575.44	Professional		$154.88	$323.59	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $389.05 / $758.58	Professional		$141.25	$389.05	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,258.93	Facility		$54.95	$56.23	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $3,311.31	Professional		$2,818.38	$3,311.31	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $549.54	Professional		$331.13	$331.13	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $602.56	Facility		$147.91	$323.59	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $724.44	Professional		$177.83	$363.08	$724.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,258.93	Professional		$588.84	$588.84	$1,258.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $416.87 / $562.34	Professional		$141.25	$416.87	$562.34
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 $154.88 / $302.00 / $602.56	Professional		$154.88	$302.00	$602.56