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 Facility Modifier 50 Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility	50	$4,168.69	$4,168.69	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $616.60	Professional		$117.49	$204.17	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $245.47	Professional		$112.20	$112.20	$245.47
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 $144.54 / $234.42 / $549.54	Professional		$144.54	$234.42	$549.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $338.84 / $549.54	Professional	50	$190.55	$338.84	$549.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,698.24 / $6,025.60	Facility		$66.07	$1,698.24	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $562.34	Professional		$144.54	$263.03	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $549.54	Facility		$229.09	$316.23	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $537.03	Professional		$147.91	$245.47	$537.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $371.54	Professional		$151.36	$213.80	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $467.74	Professional		$134.90	$251.19	$467.74
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 $1,949.84 / $1,949.84 / $2,398.83	Professional		$1,949.84	$1,949.84	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $323.59	Professional		$194.98	$194.98	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $416.87	Facility		$147.91	$251.19	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $549.54	Professional		$151.36	$257.04	$549.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $776.25	Professional		$489.78	$489.78	$776.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $323.59	Professional		$138.04	$245.47	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $398.11	Professional		$123.03	$199.53	$398.11