Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,202.26 / $2,041.74	Facility		$446.68	$1,202.26	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $331.13	Professional		$213.80	$245.47	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $1,412.54	Facility		$691.83	$1,380.38	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $154.88	Professional		$63.10	$81.28	$154.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $549.54	Professional		$162.18	$213.80	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $457.09 / $977.24	Facility		$181.97	$457.09	$977.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $371.54	Professional		$275.42	$331.13	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $478.63	Professional		$245.47	$302.00	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Professional		$1,380.38	$2,041.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $724.44	Facility		$208.93	$331.13	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $398.11	Professional		$275.42	$302.00	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $275.42	Facility		$114.82	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $524.81	Professional		$114.82	$114.82	$524.81