Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,319.00 / $16,573.00	Facility		$2,020.00	$6,319.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $116.39 / $341.60	Professional		$101.06	$116.39	$341.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.90 / $135.90 / $135.90	Professional		$135.90	$135.90	$135.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,836.00 / $9,589.00	Facility		$2,143.00	$4,836.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $156.34 / $313.72	Professional		$119.28	$156.34	$313.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,596.84	Facility		$66.00	$100.00	$1,596.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $123.03 / $282.89	Professional		$90.01	$123.03	$282.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $1,182.65 / $2,786.23	Facility		$1,000.71	$1,182.65	$2,786.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $149.44 / $333.15	Professional		$115.03	$149.44	$333.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $110.18 / $148.74	Professional		$96.80	$110.18	$148.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $126.78 / $229.45	Professional		$97.77	$126.78	$229.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $537.24 / $4,493.00	Facility		$55.00	$537.24	$4,493.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $703.68 / $720.56 / $813.45	Professional		$703.68	$720.56	$813.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.42 / $124.03 / $176.58	Facility		$101.42	$124.03	$176.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $151.29 / $323.33	Professional		$116.63	$151.29	$323.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $122.31 / $164.56	Professional		$96.80	$122.31	$164.56
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $137.76 / $405.49	Professional		$95.86	$137.76	$405.49