Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.75 / $1,094.99 / $1,094.99	Facility		$943.75	$1,094.99	$1,094.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.79 / $943.75 / $1,113.09	Professional		$774.79	$943.75	$1,113.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.87 / $293.00 / $876.00	Facility		$102.87	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.79 / $1,048.30 / $2,139.80	Professional		$863.79	$1,048.30	$2,139.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $1,348.91 / $2,543.48	Facility		$90.40	$1,348.91	$2,543.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $721.20 / $1,129.90 / $2,517.64	Professional		$721.20	$1,129.90	$2,517.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.77 / $1,145.52 / $3,437.20	Facility		$975.77	$1,145.52	$3,437.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.25 / $1,311.83 / $2,610.23	Professional		$973.25	$1,311.83	$2,610.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $889.25 / $1,143.64 / $1,543.91	Professional		$889.25	$1,143.64	$1,543.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.58 / $1,114.82 / $1,858.58	Professional		$846.58	$1,114.82	$1,858.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,654.48 / $4,622.13 / $4,622.13	Facility		$1,654.48	$4,622.13	$4,622.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,839.98 / $5,839.98 / $7,176.15	Professional		$5,839.98	$5,839.98	$7,176.15
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 $844.34 / $1,155.39 / $1,765.43	Facility		$844.34	$1,155.39	$1,765.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,030.35 / $1,521.26 / $2,639.52	Professional		$1,030.35	$1,521.26	$2,639.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $925.14 / $1,244.95 / $1,511.72	Professional		$925.14	$1,244.95	$1,511.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,026.38 / $1,026.38 / $1,026.38	Facility		$1,026.38	$1,026.38	$1,026.38
United Facility/Professional Professional Modifier Low / Median / High Price $814.32 / $1,128.58 / $2,616.32	Professional		$814.32	$1,128.58	$2,616.32