Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.55 / $1,324.68 / $3,940.71	Facility		$480.55	$1,324.68	$3,940.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.20 / $480.55 / $544.62	Professional		$349.20	$480.55	$544.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.76 / $241.36 / $1,614.64	Facility		$200.76	$241.36	$1,614.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $423.52	Professional		$208.00	$208.00	$423.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,052.08 / $1,762.01	Facility		$97.00	$1,052.08	$1,762.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $291.52 / $416.47 / $595.59	Professional		$291.52	$416.47	$595.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.06 / $741.32 / $1,620.07	Facility		$429.06	$741.32	$1,620.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $780.98 / $976.23	Professional		$736.38	$780.98	$976.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $640.73 / $1,025.17	Professional		$99.00	$640.73	$1,025.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.58 / $640.73 / $1,121.28	Professional		$512.58	$640.73	$1,121.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,114.86 / $3,043.47 / $3,043.47	Facility		$1,114.86	$3,043.47	$3,043.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.36 / $320.36 / $320.36	Professional		$320.36	$320.36	$320.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $595.54 / $1,153.31	Facility		$384.44	$595.54	$1,153.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $493.36 / $640.73 / $1,281.46	Professional		$493.36	$640.73	$1,281.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $512.58 / $640.73 / $897.02	Professional		$512.58	$640.73	$897.02
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $269.11 / $1,273.00	Professional		$269.11	$269.11	$1,273.00