Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,165.95 / $16,982.44	Facility		$1,905.46	$6,165.95	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $346.74	Professional		$53.70	$120.23	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $371.54	Professional		$83.18	$154.88	$371.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $251.19	Professional		$66.07	$131.83	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $218.78	Professional		$64.57	$123.03	$218.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $204.17	Professional		$52.48	$70.79	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $125.89 / $245.47	Professional		$48.98	$125.89	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $346.74	Facility		$54.95	$56.23	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $912.01	Professional		$851.14	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $154.88	Professional		$93.33	$93.33	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $114.82 / $213.80	Facility		$57.54	$114.82	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $229.09	Professional		$64.57	$125.89	$229.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $371.54	Professional		$181.97	$181.97	$371.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $181.97	Professional		$42.66	$58.88	$181.97
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 $50.12 / $97.72 / $199.53	Professional		$50.12	$97.72	$199.53