Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.12 / $1,037.13 / $4,620.26	Facility		$924.12	$1,037.13	$4,620.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.41 / $924.12 / $1,192.01	Professional		$788.41	$924.12	$1,192.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $858.43 / $2,025.00	Professional		$300.00	$858.43	$2,025.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $293.00 / $876.00	Facility		$203.00	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.76 / $1,848.96 / $3,798.78	Professional		$777.76	$1,848.96	$3,798.78
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 $654.47 / $934.95 / $2,083.26	Professional		$654.47	$934.95	$2,083.26
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 $778.53 / $1,183.00 / $2,672.38	Professional		$778.53	$1,183.00	$2,672.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $653.24 / $653.24 / $783.89	Professional		$653.24	$653.24	$783.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.58 / $1,014.01 / $1,932.00	Professional		$793.58	$1,014.01	$1,932.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,849.52 / $4,040.38 / $4,622.51	Facility		$1,849.52	$4,040.38	$4,622.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,462.08 / $5,462.08 / $7,456.58	Professional		$5,462.08	$5,462.08	$7,456.58
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 $821.51 / $1,074.36 / $1,464.79	Facility		$821.51	$1,074.36	$1,464.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $809.27 / $1,157.40 / $2,076.54	Professional		$809.27	$1,157.40	$2,076.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $849.22 / $1,014.08 / $1,239.44	Professional		$849.22	$1,014.08	$1,239.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,013.68 / $1,013.68 / $1,013.68	Facility		$1,013.68	$1,013.68	$1,013.68
United Facility/Professional Professional Modifier Low / Median / High Price $659.96 / $969.69 / $2,369.55	Professional		$659.96	$969.69	$2,369.55