Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $933.25	Facility		$741.31	$741.31	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $691.83 / $1,071.52	Professional		$338.84	$691.83	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $549.54	Facility		$169.82	$213.80	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $1,548.82	Professional		$165.96	$245.47	$1,548.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,365.16 / $5,754.40	Facility		$100.00	$4,365.16	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $676.08 / $1,862.09	Professional		$91.20	$676.08	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $1,778.28	Professional		$95.50	$128.82	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $398.11 / $2,187.76	Professional		$85.11	$398.11	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,762.47 / $7,762.47	Professional		$5,011.87	$7,762.47	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $741.31 / $1,659.59	Facility		$85.11	$741.31	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,388.44 / $5,248.07	Facility		$3,235.94	$3,388.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,737.80	Professional		$524.81	$851.14	$1,737.80