Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,888.44 / $16,218.10	Facility		$1,445.44	$5,888.44	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $691.83	Professional		$79.43	$194.98	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $398.11	Professional		$70.79	$151.36	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $323.59	Professional		$114.82	$181.97	$323.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $436.52	Professional		$89.13	$204.17	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $398.11	Professional		$91.20	$199.53	$398.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $288.40	Professional		$79.43	$107.15	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $169.82 / $316.23	Professional		$72.44	$169.82	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,951.21 / $2,951.21	Facility		$56.23	$2,951.21	$2,951.21
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	53	$147.91	$147.91	$147.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Professional		$1,548.82	$1,548.82	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $190.55 / $371.54	Facility		$87.10	$190.55	$371.54
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $398.11	Professional		$91.20	$199.53	$398.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $660.69	Professional		$281.84	$281.84	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $144.54 / $199.53	Professional		$72.44	$144.54	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $177.83 / $354.81	Professional		$81.28	$177.83	$354.81