Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.95 / $450.69 / $652.01	Professional		$315.95	$450.69	$652.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $696.52 / $696.52 / $696.52	Professional		$696.52	$696.52	$696.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.69 / $57.27 / $1,275.11	Facility		$51.69	$57.27	$1,275.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.67 / $728.00 / $895.66	Professional		$572.67	$728.00	$895.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,221.22 / $1,221.22 / $1,221.22	Facility		$1,221.22	$1,221.22	$1,221.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $819.44	Professional		$100.00	$100.00	$819.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $819.44	Facility		$407.96	$407.96	$819.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $407.96 / $933.75	Professional		$346.77	$407.96	$933.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.20 / $602.20 / $722.64	Professional		$602.20	$602.20	$722.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $729.00 / $813.73	Professional		$638.07	$729.00	$813.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $858.18 / $2,957.66 / $3,065.51	Facility		$858.18	$2,957.66	$3,065.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $426.66 / $819.44	Facility		$103.12	$426.66	$819.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $407.96 / $543.20	Professional		$346.77	$407.96	$543.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.20 / $602.20 / $602.20	Professional		$602.20	$602.20	$602.20
United Facility/Professional Professional Modifier Low / Median / High Price $361.84 / $391.99 / $729.06	Professional		$361.84	$391.99	$729.06