Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,951.21 / $4,897.79	Facility		$1,000.00	$2,951.21	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $724.44	Professional		$478.63	$588.84	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $3,630.78	Facility		$1,819.70	$3,630.78	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $489.78	Professional		$229.09	$257.04	$489.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,659.59 / $6,918.31	Facility		$69.18	$1,659.59	$6,918.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $1,318.26	Professional		$416.87	$537.03	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $954.99 / $2,398.83	Facility		$478.63	$954.99	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,096.48	Professional		$512.86	$870.96	$1,096.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $724.44 / $870.96	Professional		$100.00	$724.44	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,258.93	Professional		$575.44	$724.44	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
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 $436.52 / $812.83 / $1,862.09	Facility		$436.52	$812.83	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $724.44	Professional		$512.86	$724.44	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,230.27	Professional		$575.44	$741.31	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $724.44	Facility		$302.00	$398.11	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $1,288.25	Professional		$302.00	$331.13	$1,288.25