Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,365.16 / $12,882.50	Facility		$912.01	$4,365.16	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $234.42 / $1,047.13	Professional		$91.20	$234.42	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $1,412.54	Professional		$154.88	$194.98	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $316.23 / $724.44	Professional		$125.89	$316.23	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $389.05 / $2,041.74	Facility		$100.00	$389.05	$2,041.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $524.81	Professional		$104.71	$245.47	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $257.04 / $524.81	Professional		$112.20	$257.04	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $363.08	Professional		$91.20	$213.80	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $239.88 / $436.52	Professional		$85.11	$239.88	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $741.31	Facility		$54.95	$56.23	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $1,995.26	Professional		$1,737.80	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $331.13	Professional		$199.53	$199.53	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $218.78 / $416.87	Facility		$97.72	$218.78	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $257.04 / $537.03	Professional		$112.20	$257.04	$537.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $812.83	Professional		$331.13	$331.13	$812.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $257.04 / $363.08	Professional		$83.18	$257.04	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $9,772.37	Facility		$2,290.87	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $489.78	Professional		$91.20	$208.93	$489.78