Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $104.71 / $354.81	Professional		$43.65	$104.71	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $380.19 / $691.83	Professional	50	$125.89	$380.19	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
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 $70.79 / $109.65 / $234.42	Professional		$70.79	$109.65	$234.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $144.54 / $251.19	Professional	50	$79.43	$144.54	$251.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $389.05 / $5,754.40	Facility		$66.07	$389.05	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $263.03	Professional		$95.50	$147.91	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $204.17	Professional		$57.54	$114.82	$204.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $120.23	Professional		$43.65	$66.07	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $162.18	Professional		$39.81	$81.28	$162.18
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 $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $114.82	Professional		$69.18	$69.18	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $102.33 / $177.83	Facility		$47.86	$102.33	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $204.17	Professional		$58.88	$117.49	$204.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $229.09	Professional		$141.25	$141.25	$229.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $87.10 / $125.89	Professional		$39.81	$87.10	$125.89
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 $39.81 / $85.11 / $158.49	Professional		$39.81	$85.11	$158.49