Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.85 / $2,133.01 / $3,206.63	Facility		$984.85	$2,133.01	$3,206.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.80 / $1,214.63 / $2,862.30	Professional		$1,084.80	$1,214.63	$2,862.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,206.13 / $1,206.13 / $1,206.13	Professional		$1,206.13	$1,206.13	$1,206.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,115.04 / $1,361.58 / $1,749.07	Facility		$1,115.04	$1,361.58	$1,749.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.28 / $1,238.93 / $1,719.92	Professional		$1,156.28	$1,238.93	$1,719.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $97.00 / $1,457.56	Facility		$75.90	$97.00	$1,457.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,771.79	Professional		$1,238.93	$1,238.93	$1,771.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,457.56	Professional		$1,214.63	$1,214.63	$1,457.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,243.00 / $1,551.00	Professional		$638.07	$1,243.00	$1,551.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,384.68 / $2,915.12 / $5,203.28	Facility		$1,384.68	$2,915.12	$5,203.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,457.56	Facility		$1,238.93	$1,238.93	$1,457.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,179.41 / $1,238.93 / $1,457.56	Professional		$1,179.41	$1,238.93	$1,457.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,579.02 / $2,064.87	Professional		$1,214.63	$1,579.02	$2,064.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $2,275.48	Professional		$1,214.63	$1,214.63	$2,275.48