Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $251.19 / $707.95	Professional		$79.43	$251.19	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
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 $85.11 / $169.82 / $436.52	Professional		$85.11	$169.82	$436.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $812.83 / $5,754.40	Facility		$66.07	$812.83	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $245.47 / $512.86	Professional		$93.33	$245.47	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $691.83 / $933.25	Facility		$398.11	$691.83	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $501.19	Professional		$87.10	$218.78	$501.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $562.34	Professional		$89.13	$120.23	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $281.84 / $602.56	Professional		$81.28	$281.84	$602.56
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 $1,995.26 / $2,398.83 / $2,398.83	Professional		$1,995.26	$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 $83.18 / $199.53 / $512.86	Facility		$83.18	$199.53	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $575.44	Professional		$87.10	$218.78	$575.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $891.25	Professional		$269.15	$269.15	$891.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $363.08	Professional		$81.28	$151.36	$363.08
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 $72.44 / $190.55 / $398.11	Professional		$72.44	$190.55	$398.11