Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,754.40 / $16,595.87	Facility		$1,659.59	$5,754.40	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $229.09 / $616.60	Professional		$85.11	$229.09	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $74.13	Professional		$38.90	$72.44	$74.13
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 $138.04 / $257.04 / $467.74	Professional		$138.04	$257.04	$467.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,148.15 / $5,754.40	Facility		$66.07	$1,148.15	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $575.44	Professional		$104.71	$281.84	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,288.25	Facility		$354.81	$645.65	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $478.63	Professional		$104.71	$234.42	$478.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $501.19	Professional		$91.20	$169.82	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $275.42 / $537.03	Professional		$81.28	$275.42	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $19,498.45	Facility		$2,884.03	$2,884.03	$19,498.45
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	52	$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	53	$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,187.76	Professional		$1,862.09	$2,187.76	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $363.08	Professional		$218.78	$218.78	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $239.88 / $478.63	Facility		$95.50	$239.88	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $549.54	Professional		$104.71	$234.42	$549.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $812.83	Professional		$281.84	$281.84	$812.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $275.42 / $363.08	Professional		$81.28	$275.42	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,168.69 / $9,549.93	Facility		$1,737.80	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $380.19	Professional		$81.28	$190.55	$380.19