Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $512.86	Professional		$95.50	$131.83	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $389.05	Professional		$102.33	$158.49	$389.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $190.55 / $295.12	Professional	50	$141.25	$190.55	$295.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $489.78 / $7,762.47	Facility		$66.07	$489.78	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $338.84	Professional		$107.15	$151.36	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $1,047.13	Facility		$128.82	$131.83	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $331.13	Professional		$102.33	$144.54	$331.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $190.55	Professional		$117.49	$144.54	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $234.42	Professional		$100.00	$134.90	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,041.74	Professional		$1,000.00	$1,000.00	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $169.82	Professional		$102.33	$102.33	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $281.84	Facility		$102.33	$154.88	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $338.84	Professional		$102.33	$151.36	$338.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $398.11	Professional		$363.08	$363.08	$398.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $239.88	Professional		$102.33	$158.49	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $9,549.93	Facility		$2,187.76	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $245.47	Professional		$89.13	$112.20	$245.47