Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,905.46 / $3,162.28	Facility		$645.65	$1,905.46	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $489.78	Professional		$302.00	$380.19	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $2,344.23	Facility		$1,148.15	$2,290.87	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.24 / $707.95	Professional		$2.57	$3.24	$707.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,047.13 / $1,288.25	Facility		$331.13	$1,047.13	$1,288.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $831.76	Professional		$269.15	$346.74	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $645.65 / $1,548.82	Facility		$309.03	$645.65	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $707.95	Professional		$524.81	$562.34	$707.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $457.09 / $549.54	Professional		$100.00	$457.09	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $812.83	Professional		$371.54	$457.09	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
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 $275.42 / $512.86 / $1,174.90	Facility		$275.42	$512.86	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $501.19	Professional		$354.81	$457.09	$501.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $776.25	Professional		$371.54	$467.74	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $251.19 / $457.09	Facility		$194.98	$251.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $812.83	Professional		$194.98	$208.93	$812.83