Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.89 / $816.00 / $2,907.19	Facility		$461.89	$816.00	$2,907.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.08 / $461.88 / $533.91	Professional		$401.08	$461.88	$533.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.03 / $740.95 / $1,350.00	Professional		$425.03	$740.95	$1,350.00
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 $446.67 / $773.64 / $1,589.48	Professional		$446.67	$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 $350.89 / $501.27 / $1,116.93	Professional		$350.89	$501.27	$1,116.93
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 $420.98 / $648.42 / $1,445.84	Professional		$420.98	$648.42	$1,445.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $373.12 / $373.12 / $447.74	Professional		$373.12	$373.12	$447.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.73 / $567.29 / $1,023.00	Professional		$425.73	$567.29	$1,023.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.06 / $2,184.44 / $2,499.55	Facility		$1,000.06	$2,184.44	$2,499.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,826.03 / $2,826.03 / $4,030.95	Professional		$2,826.03	$2,826.03	$4,030.95
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 $433.58 / $567.64 / $761.74	Facility		$433.58	$567.64	$761.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.99 / $620.57 / $1,140.59	Professional		$440.99	$620.57	$1,140.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $483.18 / $543.58 / $664.38	Professional		$483.18	$543.58	$664.38
United Facility/Professional Facility Modifier Low / Median / High Price $543.46 / $543.46 / $543.46	Facility		$543.46	$543.46	$543.46
United Facility/Professional Professional Modifier Low / Median / High Price $353.83 / $501.67 / $1,238.90	Professional		$353.83	$501.67	$1,238.90