Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $15,848.93	Facility		$1,584.89	$5,495.41	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $102.33 / $323.59	Professional		$51.29	$102.33	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $102.33	Professional		$21.88	$43.65	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $204.17	Professional		$61.66	$109.65	$204.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $831.76 / $1,949.84	Facility		$66.07	$831.76	$1,949.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $218.78	Professional		$69.18	$114.82	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $162.18 / $776.25	Facility		$81.28	$162.18	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $251.19	Professional		$60.26	$114.82	$251.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $147.91	Professional		$50.12	$63.10	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $181.97	Professional		$50.12	$95.50	$181.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $794.33	Professional		$758.58	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $131.83	Professional		$79.43	$79.43	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $102.33 / $181.97	Facility		$54.95	$102.33	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $257.04	Professional		$61.66	$120.23	$257.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $346.74	Professional		$177.83	$177.83	$346.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $112.20	Professional		$50.12	$70.79	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $7,585.78	Facility		$1,047.13	$2,754.23	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $169.82	Professional		$47.86	$89.13	$169.82