Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,888.44 / $16,595.87	Facility		$1,230.27	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $239.88 / $758.58	Professional		$89.13	$239.88	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $354.81	Professional		$154.88	$181.97	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $13,489.63	Facility		$2,511.89	$4,466.84	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $354.81 / $812.83	Professional		$125.89	$354.81	$812.83
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 $107.15 / $281.84 / $588.84	Professional		$107.15	$281.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $288.40 / $562.34	Professional		$112.20	$288.40	$562.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $245.47 / $389.05	Professional		$91.20	$245.47	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $239.88 / $457.09	Professional		$85.11	$239.88	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $794.33	Facility		$54.95	$56.23	$794.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,137.96	Professional		$1,819.70	$2,137.96	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $354.81	Professional		$213.80	$213.80	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $446.68	Facility		$100.00	$239.88	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $281.84 / $616.60	Professional		$112.20	$281.84	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $912.01	Professional		$331.13	$331.13	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $275.42 / $416.87	Professional		$83.18	$275.42	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $229.09 / $537.03	Professional		$93.33	$229.09	$537.03