Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,888.44 / $16,595.87	Facility		$1,548.82	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $724.44	Professional		$134.90	$257.04	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $199.53 / $275.42	Professional		$60.26	$199.53	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $478.63	Facility		$151.36	$190.55	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $489.78	Professional		$162.18	$239.88	$489.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $1,862.09	Facility		$63.10	$100.00	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $457.09	Professional		$141.25	$213.80	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $478.63	Professional		$138.04	$213.80	$478.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $363.08	Professional		$162.18	$218.78	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $436.52	Professional		$154.88	$269.15	$436.52
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 $1,862.09 / $2,238.72 / $2,238.72	Professional		$1,862.09	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $380.19	Professional		$229.09	$229.09	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $398.11	Facility		$144.54	$208.93	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $501.19	Professional		$138.04	$213.80	$501.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $676.08	Professional		$436.52	$436.52	$676.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $338.84	Professional		$131.83	$181.97	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,165.95 / $18,620.87	Facility		$1,949.84	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $489.78	Professional		$125.89	$186.21	$489.78