Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $1,162.00 / $9,760.79	Facility		$1,162.00	$1,162.00	$9,760.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.00 / $1,162.00 / $1,190.00	Professional		$966.00	$1,162.00	$1,190.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $755.74 / $806.28 / $913.52	Facility		$755.74	$806.28	$913.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.20 / $760.00 / $1,568.66	Professional		$357.20	$760.00	$1,568.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $32.00 / $80.44	Professional		$28.80	$32.00	$80.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Facility		$659.12	$659.12	$659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $608.00 / $729.60	Professional		$608.00	$608.00	$729.60
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 $1,540.31 / $4,242.67 / $4,397.35	Facility		$1,540.31	$4,242.67	$4,397.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,908.43 / $4,908.43 / $6,780.38	Professional		$4,908.43	$4,908.43	$6,780.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $1,100.68 / $1,661.66	Facility		$659.12	$1,100.68	$1,661.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $659.12 / $659.12 / $659.12	Professional		$659.12	$659.12	$659.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $668.80 / $1,033.59	Professional		$608.00	$668.80	$1,033.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $2,710.68	Professional		$1,400.00	$1,400.00	$2,710.68