Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,695.00 / $17,393.00	Facility		$1,587.51	$6,695.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.47 / $700.89 / $865.31	Professional		$383.47	$700.89	$865.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.32 / $630.32 / $947.69	Professional		$630.32	$630.32	$947.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,163.00 / $13,012.00	Facility		$2,275.00	$6,163.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.38 / $1,098.35 / $1,720.76	Professional		$791.38	$1,098.35	$1,720.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,844.50	Facility		$66.09	$100.00	$5,844.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $202.01 / $288.58 / $594.03	Professional		$202.01	$288.58	$594.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $5,542.08 / $7,554.19	Facility		$705.31	$5,542.08	$7,554.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.97 / $620.10 / $723.14	Professional		$591.97	$620.10	$723.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,465.23 / $5,465.23 / $5,738.49	Professional		$5,465.23	$5,465.23	$5,738.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.21 / $995.51 / $1,706.70	Professional		$758.21	$995.51	$1,706.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,404.30 / $22,109.65 / $22,109.65	Facility		$4,404.30	$22,109.65	$22,109.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,647.68 / $5,808.40 / $6,766.05	Professional		$5,647.68	$5,808.40	$6,766.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $836.92 / $1,046.15 / $1,391.45	Facility		$836.92	$1,046.15	$1,391.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.90 / $843.66 / $1,205.55	Professional		$601.90	$843.66	$1,205.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $784.70 / $882.79 / $1,078.97	Professional		$784.70	$882.79	$1,078.97
United Facility/Professional Facility Modifier Low / Median / High Price $5,794.85 / $12,186.00 / $26,109.00	Facility		$5,794.85	$12,186.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.29 / $775.36 / $1,668.98	Professional		$612.29	$775.36	$1,668.98