Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $426.58 / $1,698.24	Facility		$81.28	$426.58	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $407.38	Professional		$67.61	$123.03	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $281.84	Professional		$102.33	$125.89	$281.84
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 $70.79 / $109.65 / $213.80	Professional		$70.79	$109.65	$213.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $338.84 / $1,778.28	Facility		$66.07	$338.84	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $213.80	Professional		$67.61	$109.65	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $194.98	Professional		$72.44	$104.71	$194.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $165.96	Professional		$75.86	$102.33	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $208.93	Professional		$67.61	$114.82	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $851.14	Professional		$724.44	$851.14	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $138.04	Professional		$83.18	$83.18	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $173.78	Facility		$69.18	$107.15	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $208.93	Professional		$72.44	$112.20	$208.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $309.03	Professional		$218.78	$218.78	$309.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $173.78	Professional		$69.18	$120.23	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $6,309.57	Facility		$588.84	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $169.82	Professional		$58.88	$85.11	$169.82