Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,041.74 / $3,467.37	Facility		$707.95	$2,041.74	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $489.78	Professional		$331.13	$407.38	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,511.89 / $2,570.40	Facility		$1,258.93	$2,511.89	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $478.63	Professional		$28.84	$43.65	$478.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,174.90 / $4,897.79	Facility		$69.18	$1,174.90	$4,897.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $1,174.90	Professional		$295.12	$398.11	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $812.83 / $1,698.24	Facility		$331.13	$812.83	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $758.58	Professional		$363.08	$616.60	$758.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $549.54	Professional		$407.38	$501.19	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $870.96	Professional		$407.38	$501.19	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $575.44 / $1,288.25	Facility		$302.00	$575.44	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $501.19	Professional		$363.08	$501.19	$501.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $691.83	Professional		$407.38	$457.09	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $275.42 / $501.19	Facility		$213.80	$275.42	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $891.25	Professional		$213.80	$229.09	$891.25