Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $16,595.87	Facility		$1,659.59	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $741.31	Professional		$186.21	$281.84	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,445.44	Professional		$630.96	$630.96	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $13,489.63	Facility		$3,548.13	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $851.14	Professional		$229.09	$407.38	$851.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $724.44 / $5,754.40	Facility		$66.07	$724.44	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $741.31	Professional		$229.09	$331.13	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $295.12 / $549.54	Facility		$213.80	$295.12	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $616.60	Professional		$213.80	$323.59	$616.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $446.68	Professional		$213.80	$288.40	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $549.54	Professional		$173.78	$302.00	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $2,344.23	Professional		$2,041.74	$2,344.23	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $380.19	Professional		$229.09	$229.09	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $323.59 / $512.86	Facility		$208.93	$323.59	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $616.60	Professional		$213.80	$331.13	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $933.25	Professional		$691.83	$691.83	$933.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $549.54	Professional		$173.78	$380.19	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $7,585.78	Facility		$1,380.38	$2,818.38	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $512.86	Professional		$177.83	$257.04	$512.86