Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,456.54 / $16,982.44	Facility		$2,187.76	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $933.25	Professional		$131.83	$234.42	$933.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional	50	$1,584.89	$1,584.89	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $489.78	Professional		$223.87	$223.87	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $549.54	Professional		$134.90	$234.42	$549.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $346.74 / $446.68	Professional	50	$245.47	$346.74	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,174.90 / $7,762.47	Facility		$66.07	$1,174.90	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $549.54	Professional		$154.88	$263.03	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Facility		$194.98	$194.98	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $489.78	Professional		$147.91	$239.88	$489.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $338.84	Professional		$112.20	$169.82	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $416.87	Professional		$134.90	$234.42	$416.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,019.95	Facility		$54.95	$56.23	$3,019.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,819.70	Professional		$1,548.82	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $302.00	Professional		$181.97	$181.97	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $239.88 / $389.05	Facility		$147.91	$239.88	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $537.03	Professional		$144.54	$245.47	$537.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $707.95	Professional		$436.52	$436.52	$707.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $251.19	Professional		$125.89	$181.97	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $6,456.54	Facility		$588.84	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $489.78	Professional		$120.23	$199.53	$489.78