Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $88.73 / $577.64	Facility		$48.03	$88.73	$577.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $79.84 / $295.66	Professional		$45.78	$79.84	$295.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $83.15 / $83.15	Professional		$83.15	$83.15	$83.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $101.21 / $223.43	Professional		$58.28	$101.21	$223.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,170.71	Facility		$66.00	$100.00	$5,170.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $89.10 / $183.32	Professional		$51.93	$89.10	$183.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $94.66 / $223.00	Facility		$80.09	$94.66	$223.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $92.14 / $240.98	Professional		$50.95	$92.14	$240.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $72.13 / $123.68	Professional		$59.20	$72.13	$123.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $93.17 / $166.29	Professional		$53.10	$93.17	$166.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $399.70 / $9,102.00 / $11,500.00	Facility		$399.70	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $634.24 / $740.18	Professional		$480.00	$634.24	$740.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $96.18 / $147.72	Facility		$59.21	$96.18	$147.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $97.22 / $233.31	Professional		$51.84	$97.22	$233.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $159.03 / $159.03 / $290.07	Professional		$159.03	$159.03	$290.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $74.65 / $124.99	Professional		$48.58	$74.65	$124.99
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $98.61 / $291.99	Professional		$66.95	$98.61	$291.99