Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $16,595.87	Facility		$1,659.59	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $660.69	Professional		$109.65	$173.78	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $251.19	Professional		$112.20	$112.20	$251.19
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 $114.82 / $165.96 / $316.23	Professional		$114.82	$165.96	$316.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,148.15 / $7,762.47	Facility		$66.07	$1,148.15	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $354.81	Professional		$123.03	$190.55	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $257.04 / $891.25	Facility		$125.89	$257.04	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $354.81	Professional		$120.23	$186.21	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $245.47	Professional		$66.07	$128.82	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $309.03	Professional		$109.65	$169.82	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,318.26	Professional		$1,148.15	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $223.87	Professional		$134.90	$134.90	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $173.78 / $295.12	Facility		$109.65	$173.78	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $389.05	Professional		$120.23	$194.98	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $524.81	Professional		$371.54	$371.54	$524.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $173.78	Professional		$69.18	$109.65	$173.78
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 $97.72 / $147.91 / $281.84	Professional		$97.72	$147.91	$281.84