Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.67 / $575.67 / $575.67	Facility		$575.67	$575.67	$575.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $176.71 / $575.67	Professional		$89.16	$176.71	$575.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $100.00 / $349.20	Professional		$40.00	$100.00	$349.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $34.78 / $100.00	Facility		$23.02	$34.78	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $30.90 / $75.42	Professional		$27.00	$30.90	$75.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $354.59	Facility		$183.96	$183.96	$354.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $208.58 / $219.01	Professional		$208.58	$208.58	$219.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $429.90 / $1,184.14 / $1,227.31	Facility		$429.90	$1,184.14	$1,227.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.95 / $1,301.95 / $1,892.40	Professional		$1,301.95	$1,301.95	$1,892.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $68.20 / $85.00	Professional		$60.00	$68.20	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.24 / $310.06 / $575.67	Facility		$156.24	$310.06	$575.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $346.04	Professional		$215.05	$215.05	$346.04