Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,943.28 / $19,054.61	Facility		$933.25	$7,943.28	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $776.25	Professional		$120.23	$173.78	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $13,489.63	Facility		$3,548.13	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $426.58	Professional		$147.91	$218.78	$426.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $512.86 / $5,754.40	Facility		$66.07	$512.86	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $446.68	Professional		$147.91	$223.87	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $91.20	Facility		$77.62	$77.62	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $354.81	Professional		$138.04	$181.97	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $218.78	Professional		$112.20	$131.83	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $275.42	Professional		$112.20	$165.96	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $234.42	Professional		$138.04	$138.04	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $190.55 / $288.40	Facility		$134.90	$190.55	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $380.19	Professional		$138.04	$181.97	$380.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $199.53	Professional		$109.65	$147.91	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $7,943.28	Facility		$1,479.11	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $371.54	Professional		$117.49	$169.82	$371.54