Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $338.84 / $954.99	Facility		$81.28	$338.84	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $363.08	Professional		$63.10	$109.65	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $173.78 / $645.65	Professional	50	$173.78	$173.78	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $234.42	Professional		$89.13	$104.71	$234.42
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 $64.57 / $97.72 / $194.98	Professional		$64.57	$97.72	$194.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $120.23 / $190.55	Professional	50	$87.10	$120.23	$190.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $363.08 / $1,778.28	Facility		$66.07	$363.08	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $194.98	Professional		$61.66	$100.00	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $181.97	Professional		$66.07	$97.72	$181.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $151.36	Professional		$70.79	$93.33	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $190.55	Professional		$61.66	$104.71	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,412.54	Facility		$54.95	$56.23	$1,412.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $776.25	Professional		$660.69	$776.25	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $125.89	Professional		$75.86	$75.86	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $95.50 / $158.49	Facility		$60.26	$95.50	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $190.55	Professional		$66.07	$102.33	$190.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $281.84	Professional		$199.53	$199.53	$281.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $154.88	Professional		$64.57	$107.15	$154.88
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 $52.48 / $77.62 / $154.88	Professional		$52.48	$77.62	$154.88