Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,011.87 / $15,848.93	Facility		$1,174.90	$5,011.87	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $1,047.13	Professional		$186.21	$331.13	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $426.58	Professional		$199.53	$288.40	$426.58
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 $144.54 / $251.19 / $537.03	Professional		$144.54	$251.19	$537.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $831.76 / $5,754.40	Facility		$66.07	$831.76	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $512.86	Professional		$169.82	$257.04	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $446.68 / $891.25	Facility		$239.88	$446.68	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $562.34	Professional		$190.55	$302.00	$562.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $239.88 / $512.86	Professional		$77.62	$239.88	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $602.56	Professional		$208.93	$346.74	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,398.83	Professional		$2,041.74	$2,398.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $398.11	Professional		$239.88	$239.88	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $295.12 / $524.81	Facility		$177.83	$295.12	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $616.60	Professional		$190.55	$309.03	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $912.01	Professional		$630.96	$630.96	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $363.08	Professional		$79.43	$131.83	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $7,585.78	Facility		$1,047.13	$2,754.23	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $478.63	Professional		$162.18	$239.88	$478.63