Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,819.70 / $2,630.27	Facility		$263.03	$1,819.70	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $302.00	Professional		$74.13	$97.72	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $263.03 / $346.74	Facility		$223.87	$263.03	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $446.68	Professional		$102.33	$245.47	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $436.52 / $1,348.96	Facility		$69.18	$436.52	$1,348.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $275.42	Professional		$93.33	$131.83	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $977.24 / $2,754.23	Facility		$85.11	$977.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $263.03	Professional		$69.18	$89.13	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $588.84	Professional		$154.88	$281.84	$588.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $162.18 / $501.19	Facility		$87.10	$162.18	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $281.84	Professional		$69.18	$89.13	$281.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $158.49	Professional		$87.10	$123.03	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $912.01 / $1,380.38	Facility		$870.96	$912.01	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $323.59	Professional		$81.28	$141.25	$323.59