Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,623.41 / $16,595.87	Facility		$1,096.48	$5,623.41	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $407.38	Professional		$60.26	$131.83	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
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 $66.07 / $100.00 / $229.09	Professional		$66.07	$100.00	$229.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $181.97 / $288.40	Professional	50	$93.33	$181.97	$288.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $616.60 / $5,754.40	Facility		$66.07	$616.60	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $269.15	Professional		$72.44	$131.83	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $275.42	Professional		$72.44	$138.04	$275.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $331.13	Professional		$64.57	$83.18	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $177.83 / $371.54	Professional		$63.10	$177.83	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $19,498.45	Facility		$2,691.53	$2,691.53	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,348.96	Professional		$1,230.27	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $223.87	Professional		$131.83	$131.83	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $138.04 / $295.12	Facility		$69.18	$138.04	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $331.13	Professional		$72.44	$141.25	$331.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $457.09	Professional		$199.53	$199.53	$457.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $208.93	Professional		$63.10	$107.15	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $7,943.28	Facility		$1,445.44	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $234.42	Professional		$54.95	$114.82	$234.42