Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,897.79 / $15,848.93	Facility		$691.83	$4,897.79	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $691.83	Professional		$107.15	$204.17	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
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 $102.33 / $162.18 / $338.84	Professional		$102.33	$162.18	$338.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $309.03 / $5,754.40	Facility		$66.07	$309.03	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $371.54	Professional		$107.15	$186.21	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $676.08	Facility		$165.96	$331.13	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $398.11	Professional		$114.82	$204.17	$398.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $354.81	Professional		$128.82	$190.55	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $416.87	Professional		$112.20	$229.09	$416.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,513.56 / $1,513.56	Facility		$147.91	$1,513.56	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Professional		$1,479.11	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $288.40	Professional		$173.78	$173.78	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $194.98 / $363.08	Facility		$104.71	$194.98	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $446.68	Professional		$112.20	$213.80	$446.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $645.65	Professional		$354.81	$354.81	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $363.08	Professional		$117.49	$251.19	$363.08
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 $93.33 / $158.49 / $316.23	Professional		$93.33	$158.49	$316.23