Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,365.16 / $8,709.64	Facility		$870.96	$4,365.16	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $1,071.52	Professional		$851.14	$870.96	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,089.30	Facility		$933.25	$1,096.48	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,698.24	Professional		$912.01	$954.99	$1,698.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $660.69	Professional		$218.78	$316.23	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,122.02	Professional		$776.25	$1,000.00	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $912.01 / $1,096.48	Professional		$478.63	$912.01	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $912.01 / $1,819.70	Facility		$263.03	$912.01	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,318.26	Professional		$776.25	$1,023.29	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $741.31	Facility		$676.08	$676.08	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,698.24	Professional		$891.25	$891.25	$1,698.24