Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.31 / $1,531.34 / $3,139.00	Facility		$503.31	$1,531.34	$3,139.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.78 / $287.25 / $1,323.00	Professional		$227.78	$287.25	$1,323.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.27 / $282.06 / $2,914.00	Facility		$231.27	$282.06	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.99 / $248.38 / $476.69	Professional		$144.99	$248.38	$476.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $205.60 / $918.40	Facility		$59.40	$205.60	$918.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $220.81 / $500.51	Professional		$158.16	$220.81	$500.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.68 / $668.28 / $1,306.19	Facility		$464.68	$668.28	$1,306.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $341.01 / $754.61	Professional		$219.82	$341.01	$754.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $43.20 / $51.84	Professional		$43.20	$43.20	$51.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $791.00 / $11,981.00	Professional		$405.00	$791.00	$11,981.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,623.04 / $2,042.80 / $2,165.12	Facility		$1,623.04	$2,042.80	$2,165.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.86 / $1,543.86 / $1,894.80	Professional		$1,543.86	$1,543.86	$1,894.80
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 $114.85 / $293.51 / $597.69	Facility		$114.85	$293.51	$597.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $352.29 / $754.61	Professional		$219.82	$352.29	$754.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $64.81 / $105.35	Professional		$43.20	$64.81	$105.35
United Facility/Professional Facility Modifier Low / Median / High Price $253.97 / $253.97 / $253.97	Facility		$253.97	$253.97	$253.97
United Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $329.76 / $816.45	Professional		$160.66	$329.76	$816.45