Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.82 / $943.40 / $3,063.96	Facility		$347.82	$943.40	$3,063.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.75 / $347.82 / $394.20	Professional		$252.75	$347.82	$394.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,323.44	Facility		$244.00	$614.00	$2,323.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.86 / $340.39	Professional		$2.58	$2.86	$340.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $335.30 / $1,307.80	Facility		$92.60	$335.30	$1,307.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $211.01 / $301.44 / $444.41	Professional		$211.01	$301.44	$444.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.95 / $608.91 / $1,517.75	Facility		$305.95	$608.91	$1,517.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $666.48 / $706.75	Professional		$533.17	$666.48	$706.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $463.76 / $742.02	Professional		$99.00	$463.76	$742.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.01 / $463.76 / $811.58	Professional		$371.01	$463.76	$811.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $806.94 / $2,202.86 / $2,202.86	Facility		$806.94	$2,202.86	$2,202.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $463.76 / $1,107.67	Facility		$278.26	$463.76	$1,107.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.28 / $463.76 / $463.76	Professional		$380.28	$463.76	$463.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.01 / $463.76 / $649.26	Professional		$371.01	$463.76	$649.26
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $194.78 / $782.14	Professional		$194.78	$194.78	$782.14