Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,888.44 / $15,848.93	Facility		$1,548.82	$5,888.44	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $794.33	Professional		$112.20	$239.88	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $288.40	Professional		$107.15	$245.47	$288.40
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 $112.20 / $173.78 / $398.11	Professional		$112.20	$173.78	$398.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $977.24 / $5,754.40	Facility		$66.07	$977.24	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $371.54	Professional		$114.82	$190.55	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $776.25 / $1,621.81	Facility		$398.11	$776.25	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $457.09	Professional		$123.03	$218.78	$457.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $141.25 / $467.74	Professional		$50.12	$141.25	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $512.86	Professional		$125.89	$275.42	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $19,498.45	Facility		$3,630.78	$3,630.78	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,089.30	Professional		$1,778.28	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $346.74	Professional		$208.93	$208.93	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $436.52	Facility		$112.20	$204.17	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $512.86	Professional		$123.03	$229.09	$512.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $758.58	Professional		$389.05	$389.05	$758.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $309.03	Professional		$51.29	$85.11	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $371.54	Professional		$102.33	$177.83	$371.54