Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,206.00 / $16,713.00	Facility		$1,208.95	$5,206.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.18 / $272.61 / $641.04	Professional		$238.18	$272.61	$641.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.02 / $297.33 / $485.81	Professional		$269.02	$297.33	$485.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.29 / $341.91 / $4,604.00	Facility		$274.29	$341.91	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.77 / $346.77 / $806.23	Professional		$276.77	$346.77	$806.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $146.41 / $571.08	Facility		$92.60	$146.41	$571.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $200.57 / $287.58 / $665.35	Professional		$200.57	$287.58	$665.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $248.92 / $752.92	Facility		$210.74	$248.92	$752.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.92 / $332.00 / $795.86	Professional		$251.92	$332.00	$795.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $225.33 / $359.25 / $431.10	Professional		$225.33	$359.25	$431.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.98 / $368.13 / $668.25	Professional		$267.98	$368.13	$668.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $529.73 / $1,224.66 / $1,457.44	Facility		$529.73	$1,224.66	$1,457.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,841.31 / $1,841.31 / $2,268.44	Professional		$1,841.31	$1,841.31	$2,268.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.19 / $339.82 / $490.93	Facility		$250.19	$339.82	$490.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $352.41 / $710.32	Professional		$253.00	$352.41	$710.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $903.38 / $903.38 / $903.38	Professional		$903.38	$903.38	$903.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $290.61 / $326.93 / $399.59	Professional		$290.61	$326.93	$399.59
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.66 / $273.02 / $783.76	Professional		$204.66	$273.02	$783.76