Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,025.60 / $16,595.87	Facility		$1,047.13	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $186.21 / $602.56	Professional		$70.79	$186.21	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $123.03 / $398.11	Professional		$54.95	$123.03	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $186.21 / $346.74	Professional		$77.62	$186.21	$346.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $776.25 / $2,041.74	Facility		$66.07	$776.25	$2,041.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $173.78 / $338.84	Professional		$74.13	$173.78	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $954.99	Facility		$537.03	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $199.53 / $389.05	Professional		$81.28	$199.53	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $426.58	Professional		$58.88	$89.13	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $239.88 / $457.09	Professional		$72.44	$239.88	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,884.03	Facility		$54.95	$56.23	$2,884.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Professional		$1,479.11	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $288.40	Professional		$173.78	$173.78	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $181.97 / $416.87	Facility		$75.86	$181.97	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $199.53 / $446.68	Professional		$81.28	$199.53	$446.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $676.08	Professional		$239.88	$239.88	$676.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $275.42	Professional		$66.07	$95.50	$275.42
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 $66.07 / $158.49 / $309.03	Professional		$66.07	$158.49	$309.03