Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,079.46 / $17,782.79	Facility		$1,737.80	$7,079.46	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $302.00	Professional		$81.28	$117.49	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $316.23	Professional		$102.33	$151.36	$316.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,981.07 / $10,471.29	Facility		$66.07	$3,981.07	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $288.40	Professional		$83.18	$134.90	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,311.31	Facility		$2,818.38	$2,818.38	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $288.40	Professional		$85.11	$125.89	$288.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $229.09	Professional		$57.54	$102.33	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $269.15	Professional		$89.13	$151.36	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $45,708.82 / $45,708.82	Facility		$12,589.25	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,258.93	Professional		$1,071.52	$1,258.93	$1,258.93
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 $100.00 / $141.25 / $234.42	Facility		$100.00	$141.25	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $302.00	Professional		$85.11	$125.89	$302.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $416.87	Professional		$288.40	$288.40	$416.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $158.49	Professional		$57.54	$83.18	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $288.40	Professional		$70.79	$112.20	$288.40