Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $83.76 / $83.76	Facility		$78.02	$83.76	$83.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $88.76 / $156.69	Professional		$78.02	$88.76	$156.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.98 / $460.00 / $914.00	Facility		$103.98	$460.00	$914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $100.00 / $162.10	Professional		$80.84	$100.00	$162.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $878.43	Facility		$100.00	$100.00	$878.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.99 / $111.63 / $226.03	Professional		$83.99	$111.63	$226.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $148.07 / $1,284.00	Facility		$50.00	$148.07	$1,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $107.30 / $205.36	Professional		$81.31	$107.30	$205.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $35.34 / $42.41	Professional		$27.86	$35.34	$42.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.00 / $283.26	Professional		$100.00	$147.00	$283.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $189.15 / $1,105.00 / $1,105.00	Facility		$189.15	$1,105.00	$1,105.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $579.79 / $579.79 / $762.83	Professional		$579.79	$579.79	$762.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $60.00 / $85.00	Professional		$16.39	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.66 / $111.59 / $153.51	Facility		$80.66	$111.59	$153.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $105.58 / $201.90	Professional		$80.79	$105.58	$201.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $41.80 / $339.17	Professional		$27.86	$41.80	$339.17
United Facility/Professional Facility Modifier Low / Median / High Price $341.00 / $350.00 / $480.00	Facility		$341.00	$350.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $82.28 / $175.10	Professional		$62.41	$82.28	$175.10