Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.45 / $539.19 / $539.19	Facility		$480.45	$539.19	$539.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.13 / $450.90 / $554.33	Professional		$398.13	$450.90	$554.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $460.87 / $460.87 / $460.87	Professional		$460.87	$460.87	$460.87
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 $458.55 / $773.64 / $1,589.48	Professional		$458.55	$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 $318.08 / $454.42 / $1,012.54	Professional		$318.08	$454.42	$1,012.54
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 $404.13 / $620.74 / $1,409.83	Professional		$404.13	$620.74	$1,409.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $639.95 / $639.95 / $767.94	Professional		$639.95	$639.95	$767.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.03 / $514.29 / $1,067.35	Professional		$386.03	$514.29	$1,067.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $975.76 / $2,131.46 / $2,438.65	Facility		$975.76	$2,131.46	$2,438.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,830.35 / $2,830.35 / $3,933.45	Professional		$2,830.35	$2,830.35	$3,933.45
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 $424.57 / $542.84 / $738.84	Facility		$424.57	$542.84	$738.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.38 / $567.16 / $1,083.38	Professional		$419.38	$567.16	$1,083.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $437.83 / $602.02 / $1,087.92	Professional		$437.83	$602.02	$1,087.92
United Facility/Professional Facility Modifier Low / Median / High Price $492.61 / $492.61 / $492.61	Facility		$492.61	$492.61	$492.61
United Facility/Professional Professional Modifier Low / Median / High Price $322.06 / $494.58 / $1,117.57	Professional		$322.06	$494.58	$1,117.57