Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,754.40 / $15,848.93	Facility		$1,202.26	$5,754.40	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $676.08	Professional		$109.65	$199.53	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
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 $109.65 / $169.82 / $338.84	Professional		$109.65	$169.82	$338.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $6,025.60	Facility		$66.07	$2,570.40	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $363.08	Professional		$112.20	$186.21	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $371.54 / $776.25	Facility		$199.53	$371.54	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $398.11	Professional		$117.49	$208.93	$398.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $363.08	Professional		$93.33	$138.04	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $436.52	Professional		$112.20	$234.42	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,778.28	Professional		$1,513.56	$1,778.28	$1,778.28
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 $112.20 / $194.98 / $371.54	Facility		$112.20	$194.98	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $457.09	Professional		$117.49	$213.80	$457.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $660.69	Professional		$363.08	$363.08	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $257.04	Professional		$95.50	$134.90	$257.04
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 $95.50 / $162.18 / $323.59	Professional		$95.50	$162.18	$323.59