Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,079.46 / $18,197.01	Facility		$1,819.70	$7,079.46	$18,197.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1.70 / $1,380.38 / $2,187.76	Facility	50	$1.70	$1,380.38	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $831.76	Professional		$123.03	$218.78	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $354.81 / $1,479.11	Professional	50	$288.40	$354.81	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
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 $138.04 / $218.78 / $501.19	Professional		$138.04	$218.78	$501.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $323.59 / $416.87	Professional	50	$234.42	$323.59	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $891.25 / $5,754.40	Facility		$66.07	$891.25	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $501.19	Professional		$134.90	$234.42	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $204.17	Facility		$173.78	$173.78	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $457.09	Professional		$141.25	$223.87	$457.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $144.54 / $316.23	Professional		$60.26	$144.54	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $398.11	Professional		$128.82	$213.80	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,698.24	Professional		$1,445.44	$1,698.24	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $281.84	Professional		$169.82	$169.82	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $218.78 / $354.81	Facility		$144.54	$218.78	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $478.63	Professional		$138.04	$223.87	$478.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $660.69	Professional		$426.58	$426.58	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $223.87	Professional		$75.86	$112.20	$223.87
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 $114.82 / $186.21 / $457.09	Professional		$114.82	$186.21	$457.09