Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.28 / $771.68 / $3,519.63	Facility		$542.28	$771.68	$3,519.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.51 / $771.68 / $1,325.75	Professional		$641.51	$771.68	$1,325.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $785.84 / $838.40 / $949.90	Facility		$785.84	$838.40	$949.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $774.77 / $790.27 / $1,615.68	Professional		$774.77	$790.27	$1,615.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $220.92 / $538.54	Professional		$154.63	$220.92	$538.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $860.90 / $1,082.52	Professional		$117.90	$860.90	$1,082.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $306.98 / $306.98 / $368.38	Professional		$306.98	$306.98	$368.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.00 / $1,297.00 / $1,931.00	Professional		$854.00	$1,297.00	$1,931.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,526.17 / $4,203.77 / $4,357.03	Facility		$1,526.17	$4,203.77	$4,357.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,860.70 / $4,860.70 / $6,718.20	Professional		$4,860.70	$4,860.70	$6,718.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $606.26	Professional		$85.00	$85.00	$606.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $641.51 / $929.73 / $1,148.21	Facility		$641.51	$929.73	$1,148.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $1,104.05	Professional		$883.24	$883.24	$1,104.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $306.98 / $337.68 / $521.87	Professional		$306.98	$337.68	$521.87
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $1,717.55	Professional		$883.24	$883.24	$1,717.55