Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,905.46 / $12,022.64	Facility		$134.90	$1,905.46	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $81.28 / $275.42	Professional		$29.51	$81.28	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $144.54	Professional		$61.66	$134.90	$144.54
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 $37.15 / $89.13 / $186.21	Professional		$37.15	$89.13	$186.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $363.08	Facility		$75.86	$104.71	$363.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $89.13 / $186.21	Professional		$33.88	$89.13	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $74.13 / $162.18	Professional		$30.20	$74.13	$162.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $95.50 / $125.89	Professional		$24.55	$95.50	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $63.10 / $125.89	Professional		$22.91	$63.10	$125.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	52	$239.88	$239.88	$239.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Professional		$549.54	$549.54	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $87.10	Professional		$51.29	$51.29	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $61.66 / $134.90	Facility		$26.92	$61.66	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $74.13 / $162.18	Professional		$30.90	$74.13	$162.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $204.17	Professional		$83.18	$83.18	$204.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $120.23 / $186.21	Professional		$22.91	$120.23	$186.21
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 $25.12 / $56.23 / $141.25	Professional		$25.12	$56.23	$141.25