Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,888.44 / $15,135.61	Facility		$1,621.81	$5,888.44	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $478.63	Professional		$75.86	$162.18	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $190.55	Professional		$67.61	$83.18	$190.55
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 $100.00 / $181.97 / $331.13	Professional		$100.00	$181.97	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,445.44 / $5,754.40	Facility		$66.07	$1,445.44	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $371.54	Professional		$104.71	$194.98	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $891.25 / $1,819.70	Facility		$398.11	$891.25	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $331.13	Professional		$93.33	$177.83	$331.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $239.88 / $316.23	Professional		$75.86	$239.88	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $323.59	Professional		$69.18	$162.18	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $19,498.45	Facility		$3,981.07	$3,981.07	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,290.87	Professional		$1,445.44	$1,445.44	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $239.88	Professional		$144.54	$144.54	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $177.83 / $331.13	Facility		$85.11	$177.83	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $380.19	Professional		$91.20	$186.21	$380.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $562.34	Professional		$275.42	$275.42	$562.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $316.23 / $467.74	Professional		$69.18	$316.23	$467.74
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 $74.13 / $144.54 / $281.84	Professional		$74.13	$144.54	$281.84