Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $59.33 / $376.14	Facility		$41.01	$59.33	$376.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $59.33 / $226.29	Professional		$41.00	$59.33	$226.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $52.70 / $52.70	Professional		$52.70	$52.70	$52.70
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 $45.24 / $62.51 / $125.11	Professional		$45.24	$62.51	$125.11
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 $46.58 / $67.81 / $129.03	Professional		$46.58	$67.81	$129.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $69.87 / $125.15	Facility		$56.00	$69.87	$125.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $71.06 / $132.79	Professional		$46.92	$71.06	$132.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $49.88 / $86.64	Professional		$28.29	$49.88	$86.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $70.59 / $123.66	Professional		$44.61	$70.59	$123.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $202.83 / $218.26	Facility		$55.00	$202.83	$218.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $320.16 / $472.88 / $557.17	Professional		$320.16	$472.88	$557.17
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 $44.08 / $66.66 / $101.04	Facility		$44.08	$66.66	$101.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $75.51 / $152.31	Professional		$47.28	$75.51	$152.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $140.38 / $201.70	Professional		$140.38	$140.38	$201.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $48.10 / $87.46	Professional		$31.69	$48.10	$87.46
United Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $1,495.00 / $5,830.00	Facility		$421.00	$1,495.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $64.91 / $140.37	Professional		$49.28	$64.91	$140.37