Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $14,125.38	Facility		$1,584.89	$6,025.60	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $181.97 / $758.58	Professional		$72.44	$181.97	$758.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $691.83 / $1,584.89	Professional	50	$295.12	$691.83	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $173.78	Professional		$107.15	$162.18	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $213.80 / $478.63	Professional		$93.33	$213.80	$478.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $251.19 / $416.87	Professional	50	$138.04	$251.19	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $851.14 / $2,454.71	Facility		$66.07	$851.14	$2,454.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $389.05	Professional		$87.10	$181.97	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,778.28	Facility		$1,513.56	$1,513.56	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $380.19	Professional		$87.10	$186.21	$380.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $288.40	Professional		$69.18	$154.88	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $169.82 / $331.13	Professional		$63.10	$169.82	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,760.83	Facility		$54.95	$56.23	$6,760.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,445.44	Professional		$1,258.93	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $239.88	Professional		$144.54	$144.54	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $165.96 / $309.03	Facility		$74.13	$165.96	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $436.52	Professional		$87.10	$190.55	$436.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $575.44	Professional		$257.04	$257.04	$575.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $194.98 / $263.03	Professional		$63.10	$194.98	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $9,772.37	Facility		$2,290.87	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $363.08	Professional		$70.79	$151.36	$363.08