Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.19 / $5,529.76 / $16,186.19	Facility		$488.19	$5,529.76	$16,186.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $149.93 / $446.26	Professional		$76.41	$149.93	$446.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $106.57 / $116.14	Professional		$70.56	$106.57	$116.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,417.00 / $9,244.00	Facility		$873.00	$4,417.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $172.20 / $375.22	Professional		$93.42	$172.20	$375.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $185.00 / $354.26	Professional		$97.97	$185.00	$354.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $900.00 / $2,389.58	Facility		$339.00	$900.00	$2,389.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $177.70 / $360.45	Professional		$90.00	$177.70	$360.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $235.27 / $374.72	Professional		$88.12	$235.27	$374.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $176.51 / $320.93	Professional		$80.73	$176.51	$320.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $557.34 / $568.86 / $12,000.00	Facility		$557.34	$568.86	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $1,443.08 / $2,302.71	Professional		$1,239.00	$1,443.08	$2,302.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $241.48	Professional		$32.34	$32.34	$241.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.44 / $175.79 / $310.20	Facility		$91.44	$175.79	$310.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $194.97 / $420.94	Professional		$92.92	$194.97	$420.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $276.22 / $276.22 / $568.34	Professional		$276.22	$276.22	$568.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $237.72 / $441.05	Professional		$81.34	$237.72	$441.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,234.60 / $3,964.00 / $9,131.00	Facility		$1,234.60	$3,964.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $186.13 / $426.85	Professional		$133.43	$186.13	$426.85