Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.28 / $1,296.59 / $6,462.49	Facility		$1,155.28	$1,296.59	$6,462.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.94 / $1,155.27 / $1,321.08	Professional		$1,014.94	$1,155.27	$1,321.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,018.73 / $1,025.46 / $1,037.49	Professional		$1,018.73	$1,025.46	$1,037.49
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 $1,055.49 / $1,848.96 / $3,798.78	Professional		$1,055.49	$1,848.96	$3,798.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,533.10 / $3,011.81	Facility		$98.20	$1,533.10	$3,011.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $901.32 / $1,287.59 / $2,869.03	Professional		$901.32	$1,287.59	$2,869.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.58 / $1,287.97 / $3,932.06	Facility		$1,079.58	$1,287.97	$3,932.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.21 / $1,672.11 / $3,547.56	Professional		$1,105.21	$1,672.11	$3,547.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.77 / $1,169.77 / $1,403.72	Professional		$1,169.77	$1,169.77	$1,403.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,067.65 / $1,396.53 / $2,694.00	Professional		$1,067.65	$1,396.53	$2,694.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,455.17 / $5,363.47 / $6,135.96	Facility		$2,455.17	$5,363.47	$6,135.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,248.35 / $7,248.35 / $9,898.58	Professional		$7,248.35	$7,248.35	$9,898.58
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 $1,109.08 / $1,457.24 / $1,956.54	Facility		$1,109.08	$1,457.24	$1,956.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,160.96 / $1,594.26 / $2,925.63	Professional		$1,160.96	$1,594.26	$2,925.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,240.74 / $1,520.70 / $1,988.61	Professional		$1,240.74	$1,520.70	$1,988.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,395.86 / $1,395.86 / $1,395.86	Facility		$1,395.86	$1,395.86	$1,395.86
United Facility/Professional Professional Modifier Low / Median / High Price $909.37 / $1,266.61 / $2,934.43	Professional		$909.37	$1,266.61	$2,934.43