Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.93 / $140.91 / $787.44	Facility		$98.93	$140.91	$787.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $129.88 / $287.36	Professional		$96.72	$129.88	$287.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $84.39 / $84.39	Professional		$84.39	$84.39	$84.39
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 $109.98 / $160.69 / $323.88	Professional		$109.98	$160.69	$323.88
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 $108.56 / $155.08 / $309.77	Professional		$108.56	$155.08	$309.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $122.60 / $219.59	Facility		$56.00	$122.60	$219.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $156.00 / $296.67	Professional		$110.13	$156.00	$296.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $149.41 / $206.77	Professional		$110.68	$149.41	$206.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $144.99 / $249.39	Professional		$98.58	$144.99	$249.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $461.60 / $485.69	Facility		$55.00	$461.60	$485.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $943.68 / $1,078.13	Professional		$836.00	$943.68	$1,078.13
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 $115.97 / $155.93 / $221.00	Facility		$115.97	$155.93	$221.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $166.49 / $314.08	Professional		$112.88	$166.49	$314.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $332.28 / $332.28 / $426.05	Professional		$332.28	$332.28	$426.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $139.83 / $245.94	Professional		$100.56	$139.83	$245.94
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $141.36 / $324.95	Professional		$104.16	$141.36	$324.95