Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.09 / $96.40 / $589.53	Facility		$61.09	$96.40	$589.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $97.37 / $351.99	Professional		$61.09	$97.37	$351.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $103.15 / $171.99	Professional		$62.18	$103.15	$171.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $90.69 / $191.22	Professional		$64.69	$90.69	$191.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $92.65 / $178.75	Professional		$62.77	$92.65	$178.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $125.78 / $225.29	Facility		$56.00	$125.78	$225.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $102.87 / $195.02	Professional		$70.44	$102.87	$195.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $96.79 / $148.56	Professional		$80.66	$96.79	$148.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $109.37 / $191.40	Professional		$69.92	$109.37	$191.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $317.36 / $347.04	Facility		$55.00	$317.36	$347.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $493.36 / $717.60 / $849.15	Professional		$493.36	$717.60	$849.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $101.44 / $154.91	Facility		$65.48	$101.44	$154.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $110.02 / $226.07	Professional		$71.27	$110.02	$226.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $218.11 / $218.11 / $309.48	Professional		$218.11	$218.11	$309.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $106.64 / $150.11	Professional		$71.22	$106.64	$150.11
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $5,830.00	Facility		$526.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $96.25 / $213.08	Professional		$73.25	$96.25	$213.08