Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,248.07 / $13,182.57	Facility		$977.24	$5,248.07	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $1,122.02	Professional		$190.55	$323.59	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $1,230.27	Professional		$371.54	$407.38	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,165.95 / $13,489.63	Facility		$3,548.13	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $870.96	Professional		$288.40	$478.63	$870.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,318.26 / $5,754.40	Facility		$66.07	$1,318.26	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $741.31	Professional		$223.87	$338.84	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Facility		$794.33	$794.33	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $524.81	Professional		$204.17	$281.84	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $346.74	Professional		$158.49	$234.42	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $407.38	Professional		$173.78	$239.88	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $19,498.45 / $19,498.45	Facility		$3,548.13	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	AS	$354.81	$354.81	$354.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,290.87	Professional		$1,862.09	$1,862.09	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $316.23	Professional		$190.55	$190.55	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $457.09	Facility		$208.93	$295.12	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $549.54	Professional		$204.17	$288.40	$549.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $724.44	Professional		$616.60	$616.60	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $302.00	Professional		$158.49	$234.42	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $12,022.64	Facility		$2,344.23	$4,265.80	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $549.54	Professional		$173.78	$263.03	$549.54