Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,073.80 / $13,182.57	Facility		$1,202.26	$4,073.80	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $251.19 / $954.99	Professional		$102.33	$251.19	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $229.09 / $398.11	Professional		$102.33	$229.09	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $707.95	Professional		$154.88	$295.12	$707.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,318.26 / $5,623.41	Facility		$66.07	$1,318.26	$5,623.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $263.03 / $512.86	Professional		$114.82	$263.03	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $478.63	Professional		$120.23	$263.03	$478.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $489.78	Professional		$109.65	$223.87	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $275.42 / $549.54	Professional		$97.72	$275.42	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,187.76	Professional		$1,862.09	$2,187.76	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $363.08	Professional		$218.78	$263.03	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $245.47 / $478.63	Facility		$112.20	$245.47	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $263.03 / $537.03	Professional		$117.49	$263.03	$537.03
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $870.96	Professional		$354.81	$354.81	$870.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $295.12 / $398.11	Professional		$97.72	$295.12	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,019.95 / $7,585.78	Facility		$1,479.11	$3,019.95	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $407.38	Professional		$95.50	$204.17	$407.38