Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $831.76 / $2,884.03	Facility		$389.05	$831.76	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,023.29	Professional		$831.76	$1,023.29	$1,023.29
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 Professional Modifier Low / Median / High Price $346.74 / $346.74 / $602.56	Professional		$346.74	$346.74	$602.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,548.82 / $2,041.74	Facility		$100.00	$1,548.82	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $741.31	Professional		$630.96	$630.96	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $630.96 / $831.76	Professional		$128.82	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,698.24	Facility		$831.76	$1,023.29	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,071.52	Professional		$630.96	$741.31	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $977.24 / $1,513.56	Facility		$933.25	$977.24	$1,513.56