Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $891.25	Professional		$173.78	$229.09	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $218.78	Professional		$194.98	$208.93	$218.78
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 $199.53 / $295.12 / $630.96	Professional		$199.53	$295.12	$630.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $5,754.40	Facility		$66.07	$2,570.40	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $524.81	Professional		$147.91	$245.47	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $524.81	Professional		$177.83	$257.04	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $346.74	Professional		$177.83	$218.78	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $416.87	Professional		$158.49	$245.47	$416.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $19,498.45 / $19,498.45	Facility		$5,623.41	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $316.23	Professional		$190.55	$190.55	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $436.52	Facility		$181.97	$269.15	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $562.34	Professional		$177.83	$263.03	$562.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $724.44	Professional		$562.34	$562.34	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $316.23	Professional		$158.49	$239.88	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $512.86	Professional		$147.91	$218.78	$512.86