Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,888.44 / $16,595.87	Facility		$1,513.56	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $213.80 / $724.44	Professional		$74.13	$213.80	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
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 / $245.47 / $501.19	Professional		$138.04	$245.47	$501.19
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 $120.23 / $281.84 / $549.54	Professional		$120.23	$281.84	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $707.95 / $1,258.93	Facility		$398.11	$707.95	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $223.87 / $426.58	Professional		$91.20	$223.87	$426.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $426.58	Professional		$77.62	$120.23	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $234.42 / $467.74	Professional		$69.18	$234.42	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $19,498.45 / $19,498.45	Facility		$2,754.23	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $295.12	Professional		$177.83	$177.83	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $229.09 / $446.68	Facility		$81.28	$229.09	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $223.87 / $489.78	Professional		$91.20	$223.87	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $676.08	Professional		$234.42	$234.42	$676.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $194.98 / $275.42	Professional		$69.18	$194.98	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $9,549.93	Facility		$1,778.28	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $169.82 / $338.84	Professional		$67.61	$169.82	$338.84