Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $22,908.68	Facility		$3,715.35	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $416.87	Professional		$74.13	$91.20	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $204.17	Professional		$87.10	$117.49	$204.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $223.87	Professional		$85.11	$120.23	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $199.53	Professional		$83.18	$109.65	$199.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $100.00	Professional		$67.61	$75.86	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $169.82	Professional		$64.57	$79.43	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $501.19	Facility		$54.95	$56.23	$501.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $707.95	Professional		$575.44	$707.95	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $177.83	Facility		$75.86	$97.72	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $208.93	Professional		$83.18	$109.65	$208.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $114.82	Professional		$61.66	$85.11	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $165.96	Professional		$66.07	$93.33	$165.96