Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $16,982.44	Facility		$1,584.89	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $144.54 / $371.54	Professional		$61.66	$144.54	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
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 $72.44 / $154.88 / $275.42	Professional		$72.44	$154.88	$275.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $870.96 / $5,754.40	Facility		$66.07	$870.96	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $275.42	Professional		$72.44	$138.04	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $316.23 / $891.25	Facility		$154.88	$316.23	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $154.88 / $309.03	Professional		$74.13	$154.88	$309.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $288.40	Professional		$70.79	$120.23	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $177.83 / $338.84	Professional		$63.10	$177.83	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,380.38	Professional		$1,174.90	$1,380.38	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $234.42	Professional		$138.04	$138.04	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $162.18 / $295.12	Facility		$70.79	$162.18	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $162.18 / $354.81	Professional		$74.13	$162.18	$354.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $489.78	Professional		$208.93	$208.93	$489.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $165.96 / $257.04	Professional		$64.57	$165.96	$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 $56.23 / $117.49 / $234.42	Professional		$56.23	$117.49	$234.42