Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,981.07 / $15,135.61	Facility		$436.52	$3,981.07	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $363.08	Professional		$43.65	$95.50	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $162.18	Professional		$75.86	$87.10	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $218.78	Professional		$51.29	$97.72	$218.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $316.23 / $1,778.28	Facility		$66.07	$316.23	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $213.80	Professional		$52.48	$102.33	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $77.62	Facility		$66.07	$66.07	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $87.10 / $190.55	Professional		$39.81	$87.10	$190.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $79.43 / $123.03	Professional		$28.18	$79.43	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $74.13 / $151.36	Professional		$26.30	$74.13	$151.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,318.26	Facility		$54.95	$56.23	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $107.15	Professional		$63.10	$63.10	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $83.18 / $154.88	Facility		$31.62	$83.18	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $87.10 / $194.98	Professional		$38.90	$87.10	$194.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $251.19	Professional		$100.00	$100.00	$251.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $100.00 / $147.91	Professional		$26.30	$100.00	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $70.79 / $154.88	Professional		$31.62	$70.79	$154.88