Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $323.59	Professional		$56.23	$77.62	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $77.62	Professional		$48.98	$48.98	$77.62
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 / $85.11 / $162.18	Professional		$61.66	$85.11	$162.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,122.02 / $5,754.40	Facility		$66.07	$1,122.02	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $186.21	Professional		$66.07	$100.00	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $112.20 / $776.25	Facility		$54.95	$112.20	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $204.17	Professional		$60.26	$93.33	$204.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $117.49	Professional		$30.20	$64.57	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $147.91	Professional		$54.95	$81.28	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,380.38	Facility		$54.95	$56.23	$1,380.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $630.96	Professional		$537.03	$630.96	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $104.71	Professional		$63.10	$63.10	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $87.10 / $144.54	Facility		$57.54	$87.10	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $204.17	Professional		$61.66	$95.50	$204.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $263.03	Professional		$190.55	$190.55	$263.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $83.18	Professional		$31.62	$51.29	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $141.25	Professional		$50.12	$74.13	$141.25