Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $112.50 / $112.50	Facility		$112.50	$112.50	$112.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $283.52 / $356.79	Professional		$112.50	$283.52	$356.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.17 / $293.00 / $876.00	Facility		$50.17	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $141.50 / $332.09	Professional		$99.02	$141.50	$332.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $345.18 / $1,272.42	Facility		$97.00	$345.18	$1,272.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $259.56 / $480.99	Professional		$177.80	$259.56	$480.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $600.20 / $2,015.72	Facility		$353.38	$600.20	$2,015.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.32 / $421.53 / $728.26	Professional		$304.32	$421.53	$728.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $43.80 / $59.13	Professional		$35.04	$43.80	$59.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $347.00 / $594.00	Professional		$233.00	$347.00	$594.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $658.49 / $1,438.12 / $1,645.73	Facility		$658.49	$1,438.12	$1,645.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.75 / $1,852.75 / $2,653.43	Professional		$1,852.75	$1,852.75	$2,653.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $119.90	Professional		$60.00	$70.00	$119.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.25 / $253.10 / $351.52	Facility		$119.25	$253.10	$351.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.83 / $410.92 / $748.60	Professional		$289.83	$410.92	$748.60
United Facility/Professional Professional Modifier Low / Median / High Price $229.06 / $304.37 / $649.17	Professional		$229.06	$304.37	$649.17