Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,230.27 / $3,311.31	Facility		$302.00	$1,230.27	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $758.58	Professional		$165.96	$281.84	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $676.08 / $912.01	Professional		$323.59	$676.08	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $281.84 / $1,318.26	Facility		$245.47	$281.84	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $512.86	Professional		$104.71	$251.19	$512.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $269.15 / $870.96	Facility		$69.18	$269.15	$870.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $269.15	Professional		$91.20	$128.82	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $870.96 / $1,621.81	Facility		$263.03	$870.96	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $537.03	Professional		$162.18	$257.04	$537.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $436.52 / $588.84	Professional		$38.90	$436.52	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $758.58	Professional		$323.59	$426.58	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,445.44	Professional		$1,202.26	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $346.74 / $691.83	Facility		$120.23	$346.74	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $524.81	Professional		$154.88	$263.03	$524.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $398.11	Professional		$57.54	$95.50	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $630.96 / $977.24	Facility		$616.60	$630.96	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $245.47 / $524.81	Professional		$114.82	$245.47	$524.81