Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,754.23 / $5,370.32	Facility		$562.34	$2,754.23	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $575.44	Professional		$234.42	$407.38	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $676.08 / $4,677.35	Facility		$0.03	$676.08	$4,677.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $1,096.48	Professional		$501.19	$575.44	$1,096.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $478.63	Professional		$169.82	$234.42	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
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 $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $3,715.35	Professional		$2,630.27	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $812.83	Facility		$338.84	$676.08	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $288.40	Professional		$169.82	$218.78	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,905.46	Facility		$1,348.96	$1,348.96	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,318.26	Professional		$676.08	$676.08	$1,318.26