Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $293.83 / $664.34	Facility		$75.15	$293.83	$664.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $97.79 / $494.00	Professional		$74.28	$97.79	$494.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.58 / $271.58 / $709.65	Professional		$271.58	$271.58	$709.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $332.52 / $876.00	Facility		$203.00	$332.52	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.17 / $362.63 / $754.46	Professional		$216.17	$362.63	$754.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $211.46 / $330.46 / $621.82	Professional		$211.46	$330.46	$621.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.98 / $310.98 / $310.98	Facility		$310.98	$310.98	$310.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.10 / $323.80 / $1,225.80	Professional		$165.10	$323.80	$1,225.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $231.65 / $376.57 / $508.37	Professional		$231.65	$376.57	$508.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.51 / $342.69 / $783.00	Professional		$264.51	$342.69	$783.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $535.46 / $561.47 / $1,517.72	Facility		$535.46	$561.47	$1,517.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.87 / $1,429.87 / $2,356.05	Professional		$1,429.87	$1,429.87	$2,356.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $352.16 / $456.92	Facility		$106.62	$352.16	$456.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $416.51 / $713.94	Professional		$211.15	$416.51	$713.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $301.14 / $342.69 / $418.85	Professional		$301.14	$342.69	$418.85
United Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $91.27 / $281.31	Professional		$63.81	$91.27	$281.31