Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $380.19	Professional		$67.61	$144.54	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $75.86	Professional		$64.57	$70.79	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $295.12	Professional		$95.50	$134.90	$295.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $234.42	Professional		$85.11	$120.23	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $199.53	Professional		$75.86	$95.50	$199.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $83.18	Professional		$50.12	$69.18	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $147.91	Professional		$61.66	$79.43	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,265.80	Facility		$54.95	$56.23	$4,265.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,995.26	Professional		$1,412.54	$1,412.54	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $186.21	Facility		$69.18	$97.72	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $199.53	Professional		$75.86	$95.50	$199.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $208.93	Professional		$63.10	$85.11	$208.93