Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.64 / $372.26 / $662.34	Facility		$359.64	$372.26	$662.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.47 / $372.26 / $372.26	Professional		$309.47	$372.26	$372.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.11 / $423.11 / $561.60	Facility		$343.11	$423.11	$561.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $381.23 / $735.54	Professional		$76.39	$381.23	$735.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $53.39 / $130.15	Professional		$48.05	$53.39	$130.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Facility		$381.23	$381.23	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $45.45 / $54.54	Professional		$45.45	$45.45	$54.54
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 $356.25 / $426.08 / $475.41	Facility		$356.25	$426.08	$475.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $677.52 / $941.85 / $1,771.58	Professional		$677.52	$941.85	$1,771.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $134.17	Professional		$85.00	$85.00	$134.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.26 / $448.50 / $2,556.46	Facility		$372.26	$448.50	$2,556.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $448.50	Professional		$381.23	$381.23	$448.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $50.00 / $77.27	Professional		$45.45	$50.00	$77.27
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $749.19	Professional		$390.00	$390.00	$749.19