Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,819.70 / $2,818.38	Facility		$128.82	$1,819.70	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $141.25	Professional		$89.13	$107.15	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $67.61 / $69.18	Facility		$60.26	$67.61	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $436.52	Professional		$144.54	$199.53	$436.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $331.13 / $724.44	Facility		$69.18	$331.13	$724.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $426.58	Professional		$154.88	$218.78	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $831.76 / $2,137.96	Facility		$87.10	$831.76	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $309.03	Professional		$102.33	$165.96	$309.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,698.24	Professional		$426.58	$707.95	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $794.33	Facility		$707.95	$707.95	$794.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,202.26	Professional		$851.14	$851.14	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $158.49 / $776.25	Facility		$87.10	$158.49	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $323.59	Professional		$100.00	$165.96	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $389.05 / $630.96	Professional		$64.57	$389.05	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $588.84	Facility		$371.54	$380.19	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $371.54	Professional		$97.72	$181.97	$371.54