Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.07 / $431.09 / $431.09	Facility		$384.07	$431.09	$431.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $382.65 / $441.40	Professional		$329.41	$382.65	$441.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.20 / $345.20 / $345.20	Professional		$345.20	$345.20	$345.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $293.00 / $876.00	Facility		$63.37	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.32 / $773.64 / $1,589.48	Professional		$411.32	$773.64	$1,589.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $426.90 / $838.65	Facility		$97.00	$426.90	$838.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $304.06 / $434.37 / $967.86	Professional		$304.06	$434.37	$967.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.38 / $386.04 / $1,180.43	Facility		$310.38	$386.04	$1,180.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.74 / $549.29 / $1,193.53	Professional		$347.74	$549.29	$1,193.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $329.93 / $329.93 / $395.92	Professional		$329.93	$329.93	$395.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.90 / $491.59 / $801.00	Professional		$368.90	$491.59	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $826.09 / $1,804.47 / $2,064.73	Facility		$826.09	$1,804.47	$2,064.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,332.12 / $2,332.12 / $3,329.85	Professional		$2,332.12	$2,332.12	$3,329.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.94 / $491.42 / $660.11	Facility		$369.94	$491.42	$660.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.91 / $528.39 / $941.44	Professional		$366.91	$528.39	$941.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $418.75 / $471.10 / $575.78	Professional		$418.75	$471.10	$575.78
United Facility/Professional Facility Modifier Low / Median / High Price $470.95 / $470.95 / $470.95	Facility		$470.95	$470.95	$470.95
United Facility/Professional Professional Modifier Low / Median / High Price $306.64 / $425.30 / $992.61	Professional		$306.64	$425.30	$992.61