Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $13,803.84	Facility		$977.24	$3,715.35	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $407.38 / $2,344.23	Professional		$70.79	$407.38	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $489.78	Professional		$120.23	$169.82	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $691.83 / $1,445.44	Professional		$100.00	$691.83	$1,445.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $389.05 / $1,174.90	Professional		$83.18	$389.05	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $478.63 / $1,071.52	Professional		$87.10	$478.63	$1,071.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $478.63 / $602.56	Professional		$70.79	$478.63	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $346.74 / $676.08	Professional		$66.07	$346.74	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,122.02	Facility		$54.95	$56.23	$1,122.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $3,090.30	Professional		$2,630.27	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $512.86	Professional		$309.03	$309.03	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $346.74 / $724.44	Facility		$77.62	$346.74	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $478.63 / $1,071.52	Professional		$87.10	$478.63	$1,071.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $1,621.81	Professional		$257.04	$257.04	$1,621.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $446.68 / $870.96	Professional		$64.57	$446.68	$870.96
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 $72.44 / $363.08 / $977.24	Professional		$72.44	$363.08	$977.24