Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,888.44 / $16,595.87	Facility		$1,445.44	$5,888.44	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $616.60 / $1,000.00 / $4,365.16	Facility	50	$616.60	$1,000.00	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $724.44	Professional		$104.71	$173.78	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $575.44 / $954.99	Professional	50	$251.19	$575.44	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $549.54	Professional	50	$208.93	$208.93	$549.54
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 $138.04 / $245.47 / $501.19	Professional		$138.04	$245.47	$501.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $208.93 / $316.23	Professional	50	$151.36	$208.93	$316.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $630.96 / $1,778.28	Facility		$66.07	$630.96	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $380.19	Professional		$112.20	$204.17	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $354.81	Professional		$120.23	$199.53	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $234.42	Professional		$97.72	$123.03	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $302.00	Professional		$93.33	$165.96	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $660.69	Facility		$54.95	$56.23	$660.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $1,348.96	Professional		$1,318.26	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $229.09	Professional		$138.04	$138.04	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $173.78 / $281.84	Facility		$109.65	$173.78	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $363.08	Professional		$120.23	$208.93	$363.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $537.03	Professional		$354.81	$354.81	$537.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $177.83	Professional		$93.33	$138.04	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $309.03	Professional		$97.72	$154.88	$309.03