Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $177.83 / $776.25	Professional		$64.57	$177.83	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $346.74	Professional		$112.20	$141.25	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $169.82 / $380.19	Professional		$74.13	$169.82	$380.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $134.90 / $398.11	Facility		$57.54	$134.90	$398.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $158.49 / $309.03	Professional		$75.86	$158.49	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $758.58	Facility		$208.93	$251.19	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $154.88 / $302.00	Professional		$66.07	$154.88	$302.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $123.03 / $213.80	Professional		$47.86	$123.03	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $141.25 / $275.42	Professional		$42.66	$141.25	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,174.90	Professional		$1,000.00	$1,174.90	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $213.80	Professional		$128.82	$128.82	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $128.82 / $263.03	Facility		$44.67	$128.82	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $154.88 / $302.00	Professional		$66.07	$154.88	$302.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $549.54	Professional		$218.78	$218.78	$549.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $154.88 / $208.93	Professional		$43.65	$154.88	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $331.13 / $501.19	Facility		$316.23	$331.13	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $125.89 / $251.19	Professional		$54.95	$125.89	$251.19