Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $724.46 / $2,528.75	Facility		$303.80	$724.46	$2,528.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.48 / $303.80 / $303.80	Professional		$279.48	$303.80	$303.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.60 / $506.33 / $1,123.22	Facility		$323.60	$506.33	$1,123.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.19 / $311.13 / $600.28	Professional		$297.19	$311.13	$600.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $380.14 / $692.31	Facility		$97.00	$380.14	$692.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Facility		$311.13	$311.13	$311.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $299.04 / $299.04 / $358.85	Professional		$299.04	$299.04	$358.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $393.93 / $662.00	Professional		$293.00	$393.93	$662.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $347.73 / $1,532.18 / $1,563.45	Facility		$347.73	$1,532.18	$1,563.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.44 / $1,363.63 / $1,584.63	Professional		$1,274.44	$1,363.63	$1,584.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $547.04	Professional		$85.00	$85.00	$547.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $366.03 / $452.05	Facility		$311.13	$366.03	$452.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $372.79	Professional		$311.13	$311.13	$372.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $261.25 / $403.75	Professional		$237.50	$261.25	$403.75
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $628.65	Professional		$305.02	$305.02	$628.65