Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.13 / $1,787.40 / $3,247.80	Facility		$682.13	$1,787.40	$3,247.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.91 / $464.95 / $1,385.41	Professional		$349.91	$464.95	$1,385.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.48 / $560.40 / $2,914.00	Facility		$459.48	$560.40	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.96 / $661.96 / $1,141.21	Professional		$420.96	$661.96	$1,141.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $771.89 / $1,174.01 / $3,034.00	Facility		$771.89	$1,174.01	$3,034.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $340.18 / $538.11 / $1,304.63	Professional		$340.18	$538.11	$1,304.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.41 / $566.41 / $712.22	Professional		$566.41	$566.41	$712.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $377.50 / $377.50 / $453.00	Professional		$377.50	$377.50	$453.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $2,583.00 / $11,981.00	Professional		$910.00	$2,583.00	$11,981.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $739.29 / $1,905.32 / $1,905.32	Facility		$739.29	$1,905.32	$1,905.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,343.00 / $2,343.00 / $2,940.23	Professional		$2,343.00	$2,343.00	$2,940.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.30 / $481.34 / $626.54	Facility		$410.30	$481.34	$626.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.27 / $367.27 / $489.24	Professional		$367.27	$367.27	$489.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Professional		$12.50	$12.50	$12.50
United Facility/Professional Facility Modifier Low / Median / High Price $570.02 / $570.02 / $570.02	Facility		$570.02	$570.02	$570.02
United Facility/Professional Professional Modifier Low / Median / High Price $317.17 / $460.59 / $1,448.36	Professional		$317.17	$460.59	$1,448.36