Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.75 / $2,264.00 / $2,826.00	Facility		$600.75	$2,264.00	$2,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $155.47 / $196.11	Professional		$115.23	$155.47	$196.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.44 / $186.00 / $2,914.00	Facility		$150.44	$186.00	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $160.66 / $293.55	Professional		$100.50	$160.66	$293.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $143.19 / $701.61	Facility		$59.40	$143.19	$701.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $90.25 / $204.94	Professional		$69.66	$90.25	$204.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.30 / $278.26 / $644.83	Facility		$216.30	$278.26	$644.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.37 / $192.14 / $406.37	Professional		$120.37	$192.14	$406.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $50.88	Professional		$42.40	$42.40	$50.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $781.00 / $11,981.00	Professional		$298.00	$781.00	$11,981.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $890.40 / $1,120.72 / $1,190.96	Facility		$890.40	$1,120.72	$1,190.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $847.87 / $847.87 / $1,039.34	Professional		$847.87	$847.87	$1,039.34
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 $86.11 / $169.90 / $278.26	Facility		$86.11	$169.90	$278.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $203.33 / $422.42	Professional		$122.81	$203.33	$422.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $63.60 / $103.40	Professional		$42.40	$63.60	$103.40
United Facility/Professional Facility Modifier Low / Median / High Price $125.87 / $181.49 / $194.47	Facility		$125.87	$181.49	$194.47
United Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $179.55 / $435.41	Professional		$100.55	$179.55	$435.41