Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,862.09 / $3,548.13	Facility		$371.54	$1,862.09	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $446.68	Professional		$354.81	$371.54	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $912.01	Facility		$398.11	$446.68	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $724.44	Professional		$371.54	$389.05	$724.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $141.25	Professional		$51.29	$69.18	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $2,137.96 / $2,344.23	Professional		$45.71	$2,137.96	$2,344.23
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 $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $446.68 / $1,071.52	Facility		$354.81	$446.68	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $77.62	Professional		$45.71	$58.88	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $741.31	Professional		$389.05	$389.05	$741.31