Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,370.32 / $15,848.93	Facility		$1,445.44	$5,370.32	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $97.72 / $389.05	Professional		$28.18	$97.72	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $125.89 / $2,454.71	Professional	50	$125.89	$125.89	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
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 $48.98 / $120.23 / $257.04	Professional		$48.98	$120.23	$257.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $57.54 / $426.58	Professional	50	$41.69	$57.54	$426.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,096.48 / $5,754.40	Facility		$66.07	$1,096.48	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $407.38	Professional		$89.13	$199.53	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $104.71 / $323.59	Professional		$30.90	$104.71	$323.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $51.29 / $125.89	Professional		$23.99	$51.29	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $70.79	Professional		$21.88	$37.15	$70.79
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 $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $147.91	Professional		$87.10	$87.10	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $52.48 / $302.00	Facility		$26.30	$52.48	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $95.50 / $309.03	Professional		$30.90	$95.50	$309.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $112.20	Professional		$83.18	$83.18	$112.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $107.15 / $158.49	Professional		$21.88	$107.15	$158.49
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 $22.39 / $67.61 / $263.03	Professional		$22.39	$67.61	$263.03