Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.18 / $736.18 / $6,183.91	Facility		$736.18	$736.18	$6,183.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $736.18 / $920.40	Professional		$612.00	$736.18	$920.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $646.49 / $791.62 / $906.21	Facility		$646.49	$791.62	$906.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.13 / $753.92 / $1,447.52	Professional		$739.13	$753.92	$1,447.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.96 / $495.65 / $1,208.25	Professional		$346.96	$495.65	$1,208.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Facility		$876.07	$876.07	$876.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $460.96 / $460.96 / $553.15	Professional		$460.96	$460.96	$553.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,047.30 / $5,639.22 / $5,844.83	Facility		$2,047.30	$5,639.22	$5,844.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,219.11 / $6,219.11 / $9,012.23	Professional		$6,219.11	$6,219.11	$9,012.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.18 / $886.96 / $1,538.11	Facility		$736.18	$886.96	$1,538.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $460.96 / $507.06 / $783.63	Professional		$460.96	$507.06	$783.63
United Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $1,717.33	Professional		$886.96	$886.96	$1,717.33