Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.49 / $1,710.08 / $5,554.01	Facility		$630.49	$1,710.08	$5,554.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.15 / $630.49 / $714.55	Professional		$458.15	$630.49	$714.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $280.77 / $280.77 / $280.77	Professional		$280.77	$280.77	$280.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $4,211.66	Facility		$244.00	$614.00	$4,211.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $373.24 / $672.52	Professional		$336.26	$373.24	$672.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $1,148.33 / $7,633.10	Facility		$59.90	$1,148.33	$7,633.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $382.49 / $546.41 / $781.44	Professional		$382.49	$546.41	$781.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.94 / $972.63 / $2,125.57	Facility		$562.94	$972.63	$2,125.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,024.65 / $1,280.81	Professional		$966.01	$1,024.65	$1,280.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $840.65 / $1,345.04	Professional		$99.00	$840.65	$1,345.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.52 / $840.65 / $1,471.14	Professional		$672.52	$840.65	$1,471.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.73 / $3,993.09 / $3,993.09	Facility		$1,462.73	$3,993.09	$3,993.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.86 / $972.63 / $2,131.04	Facility		$590.86	$972.63	$2,131.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $647.29 / $798.62 / $840.65	Professional		$647.29	$798.62	$840.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $672.52 / $840.65 / $1,176.91	Professional		$672.52	$840.65	$1,176.91
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $378.29 / $1,664.49	Professional		$353.07	$378.29	$1,664.49