Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,309.57 / $16,982.44	Facility		$1,258.93	$6,309.57	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $109.65 / $371.54	Professional		$41.69	$109.65	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
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 $45.71 / $64.57 / $169.82	Professional		$45.71	$64.57	$169.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $354.81 / $1,778.28	Facility		$66.07	$354.81	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $131.83 / $257.04	Professional		$47.86	$131.83	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $239.88	Professional		$52.48	$114.82	$239.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $151.36	Professional		$39.81	$52.48	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $97.72 / $190.55	Professional		$39.81	$97.72	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $331.13	Facility		$54.95	$56.23	$331.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $128.82	Professional		$77.62	$77.62	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $95.50 / $181.97	Facility		$46.77	$95.50	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $120.23 / $239.88	Professional		$52.48	$120.23	$239.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $331.13	Professional		$151.36	$151.36	$331.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $107.15	Professional		$39.81	$64.57	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $83.18 / $190.55	Professional		$40.74	$83.18	$190.55