Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,639.00 / $19,733.00	Facility		$2,421.00	$9,639.00	$19,733.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.51 / $666.74 / $1,049.30	Professional		$630.51	$666.74	$1,049.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $11,570.00 / $22,864.00	Facility		$2,456.00	$11,570.00	$22,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.64 / $993.07 / $2,148.77	Professional		$848.64	$993.07	$2,148.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,407.14	Facility		$66.00	$100.00	$11,407.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $681.30 / $973.28 / $1,861.20	Professional		$681.30	$973.28	$1,861.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $2,977.65 / $4,058.71	Facility		$705.31	$2,977.65	$4,058.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.50 / $965.76 / $2,278.51	Professional		$674.50	$965.76	$2,278.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,936.36 / $2,936.36 / $3,083.18	Professional		$2,936.36	$2,936.36	$3,083.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.78 / $1,094.65 / $2,102.29	Professional		$832.78	$1,094.65	$2,102.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,113.10 / $11,879.05	Facility		$55.00	$4,113.10	$11,879.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,328.64 / $6,519.60 / $7,582.80	Professional		$6,328.64	$6,519.60	$7,582.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.97 / $1,140.59 / $1,493.50	Facility		$912.97	$1,140.59	$1,493.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.50 / $973.28 / $2,003.39	Professional		$674.50	$973.28	$2,003.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $840.74 / $945.84 / $1,156.02	Professional		$840.74	$945.84	$1,156.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,307.00 / $12,313.00 / $26,451.00	Facility		$5,307.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.11 / $851.94 / $2,025.31	Professional		$670.11	$851.94	$2,025.31