Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,309.57 / $16,595.87	Facility		$2,187.76	$6,309.57	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $1,380.38	Professional		$158.49	$309.03	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Professional		$151.36	$151.36	$162.18
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 $213.80 / $380.19 / $831.76	Professional		$213.80	$380.19	$831.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,090.30 / $8,128.31	Facility		$66.07	$3,090.30	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $676.08	Professional		$177.83	$323.59	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Facility		$239.88	$239.88	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $660.69	Professional		$173.78	$316.23	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $467.74	Professional		$154.88	$186.21	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $316.23 / $562.34	Professional		$144.54	$316.23	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,818.38	Facility		$54.95	$56.23	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $2,630.27	Professional		$2,187.76	$2,630.27	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $436.52	Professional		$263.03	$263.03	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $323.59 / $562.34	Facility		$169.82	$323.59	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $691.83	Professional		$173.78	$323.59	$691.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,023.29	Professional		$524.81	$524.81	$1,023.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $338.84	Professional		$141.25	$245.47	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $645.65	Professional		$141.25	$275.42	$645.65