Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.21 / $615.52 / $2,119.84	Facility		$227.21	$615.52	$2,119.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $326.37 / $1,184.53	Professional		$302.36	$326.37	$1,184.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $300.00 / $1,436.20	Professional		$50.00	$300.00	$1,436.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.45 / $340.82 / $386.15	Facility		$319.45	$340.82	$386.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.95 / $321.26 / $626.45	Professional		$294.95	$321.26	$626.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.78 / $211.11 / $514.62	Professional		$147.78	$211.11	$514.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $453.67 / $776.76	Professional		$149.85	$453.67	$776.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $432.00	Professional		$360.00	$360.00	$432.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $379.00 / $1,102.00	Professional		$329.00	$379.00	$1,102.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $829.58 / $2,285.06 / $2,368.40	Facility		$829.58	$2,285.06	$2,368.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,216.92 / $2,216.92 / $3,651.83	Professional		$2,216.92	$2,216.92	$3,651.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $1,266.83	Professional		$85.00	$85.00	$1,266.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.70 / $377.95 / $466.77	Facility		$313.70	$377.95	$466.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $359.05 / $448.81	Professional		$312.50	$359.05	$448.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $396.00 / $612.00	Professional		$360.00	$396.00	$612.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $695.55	Professional		$359.05	$359.05	$695.55