Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $446.68 / $2,137.96	Facility		$43.65	$446.68	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $51.29 / $165.96	Professional		$26.30	$51.29	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $85.11	Professional		$36.31	$51.29	$85.11
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 $30.20 / $46.77 / $89.13	Professional		$30.20	$46.77	$89.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $131.83 / $1,778.28	Facility		$64.57	$131.83	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $91.20	Professional		$28.18	$46.77	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $85.11	Professional		$30.20	$45.71	$85.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $69.18	Professional		$22.39	$31.62	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $47.86 / $89.13	Professional		$25.70	$47.86	$89.13
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 $309.03 / $363.08 / $363.08	Professional		$309.03	$363.08	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $60.26	Professional		$36.31	$36.31	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $44.67 / $74.13	Facility		$28.84	$44.67	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $95.50	Professional		$30.20	$46.77	$95.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $134.90	Professional		$95.50	$95.50	$134.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $51.29	Professional		$22.91	$31.62	$51.29
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 $24.55 / $36.31 / $72.44	Professional		$24.55	$36.31	$72.44