Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,025.60 / $19,952.62	Facility		$1,548.82	$6,025.60	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $239.88	Professional		$42.66	$74.13	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $87.10 / $109.65	Professional		$27.54	$87.10	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $181.97	Professional		$66.07	$97.72	$181.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $162.18	Professional		$56.23	$75.86	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $134.90	Professional		$47.86	$58.88	$134.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $44.67 / $57.54	Professional		$41.69	$44.67	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $95.50	Professional		$37.15	$48.98	$95.50
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 Facility Modifier 53 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	53	$54.95	$54.95	$54.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $66.07 / $107.15	Facility		$47.86	$66.07	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $131.83	Professional		$47.86	$58.88	$131.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $91.20	Professional		$40.74	$58.88	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $7,585.78	Facility		$588.84	$1,584.89	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $123.03	Professional		$38.02	$56.23	$123.03