Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $597.02 / $5,014.97	Facility		$597.02	$597.02	$5,014.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.32 / $597.02 / $597.02	Professional		$496.32	$597.02	$597.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.99 / $648.64 / $734.91	Facility		$607.99	$648.64	$734.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.41 / $611.41 / $1,167.79	Professional		$599.41	$611.41	$1,167.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $65.59 / $159.91	Professional		$59.04	$65.59	$159.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Facility		$611.41	$611.41	$611.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Professional		$611.41	$611.41	$611.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $101.30 / $121.56	Professional		$101.30	$101.30	$121.56
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 $993.93 / $3,219.63 / $3,337.02	Facility		$993.93	$3,219.63	$3,337.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,503.62 / $3,503.62 / $5,821.50	Professional		$3,503.62	$3,503.62	$5,821.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $270.53	Professional		$85.00	$85.00	$270.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $719.30 / $855.11	Facility		$597.02	$719.30	$855.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $719.30	Professional		$611.41	$611.41	$719.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $111.43 / $172.21	Professional		$101.30	$111.43	$172.21
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $1,312.70	Professional		$683.34	$683.34	$1,312.70