Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,495.41 / $15,848.93	Facility		$912.01	$5,495.41	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $316.23	Professional		$53.70	$120.23	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
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 $77.62 / $131.83 / $275.42	Professional		$77.62	$131.83	$275.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $309.03 / $1,778.28	Facility		$66.07	$309.03	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $281.84	Professional		$74.13	$144.54	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $223.87	Professional		$60.26	$109.65	$223.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $154.88	Professional		$53.70	$69.18	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $107.15 / $190.55	Professional		$47.86	$107.15	$190.55
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 $724.44 / $812.83 / $812.83	Professional		$724.44	$812.83	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $134.90	Professional		$81.28	$81.28	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $107.15 / $194.98	Facility		$56.23	$107.15	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $239.88	Professional		$60.26	$112.20	$239.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $316.23	Professional		$169.82	$169.82	$316.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $83.18 / $125.89	Professional		$47.86	$83.18	$125.89
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 $48.98 / $95.50 / $204.17	Professional		$48.98	$95.50	$204.17