Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.99 / $281.05 / $476.42	Professional		$196.99	$281.05	$476.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $434.35 / $434.35 / $434.35	Professional		$434.35	$434.35	$434.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $35.70 / $35.70	Facility		$32.22	$35.70	$35.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.04 / $453.92 / $609.60	Professional		$357.04	$453.92	$609.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $761.38 / $761.38 / $761.38	Facility		$761.38	$761.38	$761.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $440.40	Facility		$283.73	$283.73	$440.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $283.73 / $705.00	Professional		$241.17	$283.73	$705.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $534.02 / $534.02 / $640.82	Professional		$534.02	$534.02	$640.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.96 / $507.32 / $801.00	Professional		$444.96	$507.32	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.65 / $3,331.13 / $3,452.59	Facility		$537.65	$3,331.13	$3,452.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.26 / $396.50 / $643.99	Facility		$204.26	$396.50	$643.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $283.73 / $415.13	Professional		$241.17	$283.73	$415.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $534.02 / $534.02 / $534.02	Professional		$534.02	$534.02	$534.02
United Facility/Professional Professional Modifier Low / Median / High Price $243.78 / $303.48 / $539.48	Professional		$243.78	$303.48	$539.48