Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.16 / $292.33 / $2,264.00	Facility		$254.16	$292.33	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.96 / $254.16 / $429.27	Professional		$220.96	$254.16	$429.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $293.00 / $876.00	Facility		$20.73	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $290.02 / $448.00	Professional		$62.47	$290.02	$448.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $133.05 / $634.28	Facility		$59.40	$133.05	$634.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $97.51 / $226.23	Professional		$76.90	$97.51	$226.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $1,204.39 / $2,653.88	Facility		$95.33	$1,204.39	$2,653.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $88.78 / $189.22	Professional		$61.52	$88.78	$189.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $51.91 / $62.29	Professional		$51.91	$51.91	$62.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $393.93 / $1,049.00	Professional		$277.00	$393.93	$1,049.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $184.07 / $1,229.45 / $1,229.45	Facility		$184.07	$1,229.45	$1,229.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $669.64 / $938.34 / $938.34	Professional		$669.64	$938.34	$938.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $254.16 / $1,972.88	Facility		$30.95	$254.16	$1,972.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $87.19 / $207.26	Professional		$61.09	$87.19	$207.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $51.91 / $126.59	Professional		$14.80	$51.91	$126.59
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $396.05 / $396.05	Facility		$396.05	$396.05	$396.05
United Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $349.04 / $1,067.99	Professional		$73.31	$349.04	$1,067.99