Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.55 / $836.47 / $2,653.56	Facility		$400.55	$836.47	$2,653.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.47 / $836.47 / $1,032.19	Professional		$836.47	$836.47	$1,032.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,032.50 / $1,032.50 / $1,032.50	Professional		$1,032.50	$1,032.50	$1,032.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $1,294.00 / $1,610.00	Facility		$357.00	$1,294.00	$1,610.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.54 / $343.54 / $596.13	Professional		$343.54	$343.54	$596.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $943.24 / $1,717.81	Facility		$97.00	$943.24	$1,717.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $360.74 / $360.74	Professional		$360.74	$360.74	$360.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $624.66 / $624.66 / $749.59	Professional		$624.66	$624.66	$749.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $836.47 / $1,032.19 / $1,201.00	Facility		$836.47	$1,032.19	$1,201.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.74 / $360.74 / $360.74	Professional		$360.74	$360.74	$360.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $624.66 / $687.13 / $1,061.92	Professional		$624.66	$687.13	$1,061.92