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 / $501.19	Professional		$64.57	$177.83	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
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 / $389.05	Professional		$74.13	$169.82	$389.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $128.82 / $398.11	Facility		$56.23	$128.82	$398.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $323.59	Professional		$77.62	$162.18	$323.59
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 $69.18 / $158.49 / $323.59	Professional		$69.18	$158.49	$323.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $131.83 / $229.09	Professional		$54.95	$131.83	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $151.36 / $295.12	Professional		$48.98	$151.36	$295.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,258.93	Professional		$1,230.27	$1,258.93	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $234.42	Professional		$141.25	$141.25	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $138.04 / $269.15	Facility		$52.48	$138.04	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $331.13	Professional		$69.18	$162.18	$331.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $602.56	Professional		$245.47	$245.47	$602.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $165.96 / $223.87	Professional		$50.12	$165.96	$223.87
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 $58.88 / $134.90 / $263.03	Professional		$58.88	$134.90	$263.03