Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.35 / $299.04 / $1,336.95	Facility		$115.35	$299.04	$1,336.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $160.13 / $206.99	Professional		$105.80	$160.13	$206.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $293.00 / $876.00	Facility		$63.37	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.60 / $773.64 / $1,589.48	Professional		$261.60	$773.64	$1,589.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $426.90 / $838.65	Facility		$97.00	$426.90	$838.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.94 / $267.06 / $595.05	Professional		$186.94	$267.06	$595.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.38 / $386.04 / $1,180.43	Facility		$310.38	$386.04	$1,180.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $279.25 / $572.12	Professional		$171.87	$279.25	$572.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $221.87 / $266.24	Professional		$221.87	$221.87	$266.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $302.38 / $609.00	Professional		$226.78	$302.38	$609.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.56 / $873.48 / $999.31	Facility		$436.56	$873.48	$999.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.58 / $1,167.66 / $1,760.18	Professional		$1,125.58	$1,167.66	$1,760.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.36 / $251.98 / $386.27	Facility		$121.36	$251.98	$386.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.82 / $296.10 / $495.92	Professional		$184.82	$296.10	$495.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.51 / $289.70 / $377.17	Professional		$257.51	$289.70	$377.17
United Facility/Professional Facility Modifier Low / Median / High Price $289.56 / $289.56 / $289.56	Facility		$289.56	$289.56	$289.56
United Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $208.67 / $580.72	Professional		$108.57	$208.67	$580.72