Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,623.41 / $16,595.87	Facility		$1,000.00	$5,623.41	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $446.68	Professional		$79.43	$151.36	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
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 $95.50 / $165.96 / $389.05	Professional		$95.50	$165.96	$389.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $177.83 / $2,041.74	Facility		$66.07	$177.83	$2,041.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $354.81	Professional		$93.33	$173.78	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $125.89	Facility		$107.15	$107.15	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $331.13	Professional		$87.10	$154.88	$331.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $213.80	Professional		$74.13	$107.15	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $288.40	Professional		$69.18	$154.88	$288.40
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 Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,230.27	Professional		$1,071.52	$1,230.27	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $208.93	Professional		$125.89	$125.89	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $269.15	Facility		$77.62	$151.36	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $338.84	Professional		$87.10	$154.88	$338.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $457.09	Professional		$251.19	$251.19	$457.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $151.36 / $218.78	Professional		$67.61	$151.36	$218.78
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 $74.13 / $134.90 / $295.12	Professional		$74.13	$134.90	$295.12