Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $8,912.51 / $19,952.62	Facility		$1,071.52	$8,912.51	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $1,122.02	Professional		$245.47	$354.81	$1,122.02
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $295.12 / $457.09 / $794.33	Professional	54	$295.12	$457.09	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $724.44	Professional		$363.08	$363.08	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $794.33	Professional		$223.87	$363.08	$794.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $223.87 / $1,778.28	Facility		$66.07	$223.87	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $616.60	Professional		$190.55	$295.12	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $724.44	Professional		$245.47	$354.81	$724.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $416.87 / $524.81	Professional		$138.04	$416.87	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $691.83	Professional		$316.23	$416.87	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,467.37	Facility		$54.95	$56.23	$3,467.37
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	54	$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $2,691.53	Professional		$2,290.87	$2,691.53	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $436.52	Professional		$263.03	$263.03	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $389.05 / $602.56	Facility		$229.09	$389.05	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $776.25	Professional		$245.47	$363.08	$776.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $977.24	Professional		$933.25	$933.25	$977.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $398.11	Professional		$138.04	$208.93	$398.11
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 $218.78 / $281.84 / $602.56	Professional		$218.78	$281.84	$602.56