Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $22,908.68	Facility		$3,715.35	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $575.44	Professional		$100.00	$123.03	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,317.64 / $15,848.93	Facility		$4,570.88	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $281.84	Professional		$114.82	$158.49	$281.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $302.00	Professional		$114.82	$162.18	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $269.15	Professional		$109.65	$141.25	$269.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $776.25 / $977.24	Professional		$104.71	$776.25	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $234.42	Professional		$89.13	$109.65	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,238.72	Facility		$54.95	$56.23	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $144.54 / $263.03	Facility		$104.71	$144.54	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $281.84	Professional		$109.65	$141.25	$281.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $1,096.48 / $1,659.59	Professional		$93.33	$1,096.48	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $223.87	Professional		$89.13	$120.23	$223.87