Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,630.78 / $7,079.46	Facility		$741.31	$3,630.78	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,023.29	Professional		$602.56	$741.31	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $891.25 / $2,290.87	Facility		$0.03	$891.25	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,445.44	Professional		$758.58	$758.58	$1,445.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,318.26	Professional		$467.74	$645.65	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $8,912.51	Professional		$6,165.95	$8,912.51	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $2,041.74	Facility		$741.31	$1,023.29	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $776.25	Professional		$457.09	$602.56	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,311.31 / $3,311.31	Facility		$954.99	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,698.24	Professional		$891.25	$891.25	$1,698.24