Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,218.10	Facility		$2,290.87	$6,456.54	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $457.09	Professional		$100.00	$131.83	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $354.81	Professional		$120.23	$165.96	$354.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $263.03 / $1,819.70	Facility		$66.07	$263.03	$1,819.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $309.03	Professional		$109.65	$158.49	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,174.90	Facility		$1,000.00	$1,000.00	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $316.23	Professional		$114.82	$147.91	$316.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $144.54	Professional		$95.50	$97.72	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $204.17	Professional		$83.18	$104.71	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,466.84	Facility		$54.95	$56.23	$4,466.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $812.83	Professional		$707.95	$812.83	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $186.21	Facility		$97.72	$114.82	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $316.23	Professional		$114.82	$151.36	$316.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $165.96	Professional		$77.62	$104.71	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $309.03	Professional		$93.33	$138.04	$309.03