Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $6,025.60	Facility		$933.25	$1,096.48	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $5,011.87	Professional		$812.83	$977.24	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $117.49 / $120.23	Facility		$104.71	$117.49	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,691.53	Professional		$870.96	$1,148.15	$2,691.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,862.09 / $2,691.53	Facility		$97.72	$1,862.09	$2,691.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,570.40	Professional		$1,023.29	$1,479.11	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $3,467.37	Facility		$977.24	$1,318.26	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,570.40	Professional		$933.25	$1,288.25	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,819.70	Professional		$891.25	$1,348.96	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,137.96	Professional		$977.24	$1,258.93	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,244.36 / $7,244.36	Professional		$5,888.44	$7,244.36	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,995.26	Facility		$870.96	$1,258.93	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,511.89	Professional		$954.99	$1,412.54	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,513.56	Professional		$891.25	$1,258.93	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $2,344.23	Facility		$1,479.11	$1,513.56	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,238.72	Professional		$812.83	$1,096.48	$2,238.72