Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $2,264.00 / $2,969.00	Facility		$1,827.00	$2,264.00	$2,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $220.88 / $1,039.70	Professional		$80.70	$220.88	$1,039.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.14 / $243.59 / $1,704.00	Facility		$203.14	$243.59	$1,704.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $250.53 / $411.42	Professional		$102.24	$250.53	$411.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $199.86 / $931.77	Facility		$59.40	$199.86	$931.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $103.16 / $246.09	Professional		$83.65	$103.16	$246.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.85 / $1,011.73 / $2,308.29	Facility		$182.85	$1,011.73	$2,308.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $80.31 / $131.29	Professional		$74.54	$80.31	$131.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $87.40 / $104.88	Professional		$87.40	$87.40	$104.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $282.00 / $545.00	Professional		$144.00	$282.00	$545.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $643.60 / $720.24 / $720.24	Facility		$643.60	$720.24	$720.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $540.13 / $1,240.30 / $1,240.30	Professional		$540.13	$1,240.30	$1,240.30
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 $89.63 / $146.41 / $1,007.97	Facility		$89.63	$146.41	$1,007.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $93.49 / $280.64	Professional		$75.54	$93.49	$280.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $131.10 / $157.32	Professional		$87.40	$131.10	$157.32
United Facility/Professional Facility Modifier Low / Median / High Price $57.63 / $57.63 / $57.63	Facility		$57.63	$57.63	$57.63
United Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $141.81 / $325.29	Professional		$92.75	$141.81	$325.29