Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.66 / $731.70 / $804.87	Facility		$303.66	$731.70	$804.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.44 / $303.66 / $310.97	Professional		$252.44	$303.66	$310.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.86 / $346.01 / $641.36	Facility		$232.86	$346.01	$641.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $310.97 / $597.05	Professional		$304.88	$310.97	$597.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $233.87 / $1,177.30	Facility		$98.20	$233.87	$1,177.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $91.20 / $222.32	Professional		$82.08	$91.20	$222.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Facility		$310.97	$310.97	$310.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $98.18 / $117.82	Professional		$98.18	$98.18	$117.82
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 $541.36 / $895.60 / $1,371.94	Facility		$541.36	$895.60	$1,371.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.23 / $1,390.23 / $1,646.33	Professional		$1,390.23	$1,390.23	$1,646.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $101.18	Professional		$85.00	$85.00	$101.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $365.85 / $434.93	Facility		$310.97	$365.85	$434.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $365.85	Professional		$310.97	$310.97	$365.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $108.00 / $166.91	Professional		$98.18	$108.00	$166.91
United Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $649.33	Professional		$304.88	$304.88	$649.33