Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $8,912.51 / $19,952.62	Facility		$741.31	$8,912.51	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $691.83	Professional		$109.65	$165.96	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $257.04	Professional		$128.82	$144.54	$257.04
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 $117.49 / $181.97 / $398.11	Professional		$117.49	$181.97	$398.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $1,778.28	Facility		$66.07	$141.25	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $316.23	Professional		$95.50	$151.36	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $338.84	Professional		$114.82	$169.82	$338.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $223.87	Professional		$69.18	$123.03	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $275.42	Professional		$104.71	$162.18	$275.42
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 $123.03 / $123.03 / $204.17	Professional		$123.03	$123.03	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $263.03	Facility		$117.49	$169.82	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $354.81	Professional		$114.82	$169.82	$354.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $467.74	Professional		$363.08	$363.08	$467.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $158.49	Professional		$87.10	$117.49	$158.49
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 $93.33 / $141.25 / $331.13	Professional		$93.33	$141.25	$331.13