Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.87 / $1,213.80 / $2,931.11	Facility		$184.87	$1,213.80	$2,931.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $204.34 / $286.75	Professional		$180.50	$204.34	$286.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $472.50 / $1,500.00	Professional		$269.23	$472.50	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.70 / $293.00 / $876.00	Facility		$181.70	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.53 / $572.96 / $1,135.98	Professional		$354.53	$572.96	$1,135.98
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 $231.90 / $402.33 / $843.23	Professional		$231.90	$402.33	$843.23
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 / $714.10	Professional		$283.60	$378.13	$714.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $580.16 / $1,173.23 / $1,342.40	Facility		$580.16	$1,173.23	$1,342.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.41 / $1,557.41 / $2,337.90	Professional		$1,557.41	$1,557.41	$2,337.90
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 $194.42 / $346.12 / $484.29	Facility		$194.42	$346.12	$484.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $401.81 / $730.75	Professional		$262.68	$401.81	$730.75
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 $169.06 / $277.76 / $726.17	Professional		$169.06	$277.76	$726.17