Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,466.84 / $15,135.61	Facility		$489.78	$4,466.84	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $190.55 / $776.25	Professional		$34.67	$190.55	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $239.88	Professional		$37.15	$64.57	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $380.19 / $630.96	Professional		$58.88	$380.19	$630.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $398.11 / $5,754.40	Facility		$66.07	$398.11	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $169.82 / $478.63	Professional		$40.74	$169.82	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $776.25	Facility		$165.96	$331.13	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $229.09 / $436.52	Professional		$41.69	$229.09	$436.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $204.17 / $446.68	Professional		$35.48	$204.17	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $263.03 / $524.81	Professional		$33.11	$263.03	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $741.31	Facility		$54.95	$56.23	$741.31
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	52	$588.84	$588.84	$588.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $1,862.09	Professional		$1,548.82	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $190.55 / $457.09	Facility		$37.15	$190.55	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $229.09 / $489.78	Professional		$41.69	$229.09	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $758.58	Professional		$123.03	$123.03	$758.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $288.40 / $371.54	Professional		$32.36	$288.40	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,479.11 / $6,025.60	Facility		$416.87	$1,479.11	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $158.49 / $354.81	Professional		$33.88	$158.49	$354.81