Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.55 / $1,024.05 / $3,325.85	Facility		$377.55	$1,024.05	$3,325.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.35 / $377.55 / $427.89	Professional		$274.35	$377.55	$427.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,522.03	Facility		$244.00	$614.00	$2,522.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $32.04 / $355.19	Professional		$28.88	$32.04	$355.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $687.64 / $4,570.87	Facility		$59.90	$687.64	$4,570.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.05 / $327.20 / $494.51	Professional		$229.05	$327.20	$494.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.12 / $675.69 / $1,647.50	Facility		$332.12	$675.69	$1,647.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.20 / $613.72 / $767.15	Professional		$578.20	$613.72	$767.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $503.40 / $553.74	Professional		$402.72	$503.40	$553.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $503.40 / $880.95	Professional		$402.72	$503.40	$880.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $875.92 / $2,391.15 / $2,391.15	Facility		$875.92	$2,391.15	$2,391.15
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 $302.04 / $503.40 / $1,180.98	Facility		$302.04	$503.40	$1,180.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.62 / $503.40 / $553.74	Professional		$387.62	$503.40	$553.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $451.05 / $563.80	Professional		$402.72	$451.05	$563.80
United Facility/Professional Facility Modifier Low / Median / High Price $211.43 / $503.40 / $503.40	Facility		$211.43	$503.40	$503.40
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $211.43 / $738.24	Professional		$211.43	$211.43	$738.24