Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.81 / $2,188.31 / $7,517.25	Facility		$151.81	$2,188.31	$7,517.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $193.82 / $402.44	Professional		$136.62	$193.82	$402.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.76 / $238.50 / $283.13	Professional		$166.76	$238.50	$283.13
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 $273.35 / $773.64 / $1,589.48	Professional		$273.35	$773.64	$1,589.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $819.06 / $1,609.07	Facility		$97.00	$819.06	$1,609.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $333.95 / $744.11	Professional		$233.77	$333.95	$744.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.51 / $666.37 / $2,015.72	Facility		$572.51	$666.37	$2,015.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.67 / $351.16 / $748.98	Professional		$207.67	$351.16	$748.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $265.07 / $265.07 / $318.08	Professional		$265.07	$265.07	$318.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.60 / $378.13 / $724.00	Professional		$283.60	$378.13	$724.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $532.20 / $1,058.15 / $1,210.92	Facility		$532.20	$1,058.15	$1,210.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.45 / $1,435.59 / $2,145.67	Professional		$1,354.45	$1,435.59	$2,145.67
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 $145.35 / $315.11 / $482.93	Facility		$145.35	$315.11	$482.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.24 / $374.04 / $651.91	Professional		$244.24	$374.04	$651.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $321.95 / $362.20 / $450.61	Professional		$321.95	$362.20	$450.61
United Facility/Professional Facility Modifier Low / Median / High Price $362.05 / $362.05 / $362.05	Facility		$362.05	$362.05	$362.05
United Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $252.50 / $800.02	Professional		$126.07	$252.50	$800.02