Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,382.00 / $16,713.00	Facility		$1,208.95	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $400.00 / $448.00	Professional		$67.97	$400.00	$448.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $4,604.00 / $9,274.00	Facility		$2,145.00	$4,604.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.64 / $164.17 / $286.37	Professional		$97.64	$164.17	$286.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $258.26 / $578.97	Facility		$97.00	$258.26	$578.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $115.46 / $252.81	Professional		$80.81	$115.46	$252.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $127.31 / $127.31	Professional		$127.31	$127.31	$127.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $99.10 / $142.62	Professional		$73.41	$99.10	$142.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $105.18 / $185.85	Professional		$65.42	$105.18	$185.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $296.70 / $322.86 / $322.86	Facility		$296.70	$322.86	$322.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $486.80 / $722.96 / $809.93	Professional		$486.80	$722.96	$809.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.97 / $103.67 / $175.23	Facility		$67.97	$103.67	$175.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $163.51 / $250.41	Professional		$67.97	$163.51	$250.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $81.58 / $132.12	Professional		$59.33	$81.58	$132.12
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,523.00 / $5,830.00	Facility		$545.00	$1,523.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $109.20 / $239.55	Professional		$82.01	$109.20	$239.55