Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,897.79 / $15,848.93	Facility		$1,202.26	$4,897.79	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $457.09	Professional		$93.33	$144.54	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $141.25	Professional		$69.18	$69.18	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $416.87	Professional		$125.89	$186.21	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,819.70 / $22,908.68	Facility		$66.07	$1,819.70	$22,908.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $354.81	Professional		$102.33	$173.78	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $354.81	Professional		$112.20	$165.96	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $234.42	Professional		$104.71	$131.83	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $281.84	Professional		$93.33	$158.49	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,495.41	Facility		$54.95	$56.23	$5,495.41
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 $128.82 / $128.82 / $213.80	Professional		$128.82	$128.82	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $275.42	Facility		$109.65	$177.83	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $363.08	Professional		$112.20	$169.82	$363.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $478.63	Professional		$331.13	$331.13	$478.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $223.87	Professional		$93.33	$165.96	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $10,000.00	Facility		$2,290.87	$4,265.80	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $331.13	Professional		$93.33	$144.54	$331.13