Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $776.25 / $870.96	Facility		$354.81	$776.25	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $316.23 / $380.19	Professional		$309.03	$316.23	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $389.05 / $758.58	Facility		$338.84	$389.05	$758.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $501.19	Professional		$323.59	$338.84	$501.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $724.44 / $1,071.52	Facility		$100.00	$724.44	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $389.05	Professional		$323.59	$323.59	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $354.81 / $831.76	Professional		$128.82	$354.81	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $537.03	Facility		$309.03	$380.19	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $380.19	Professional		$323.59	$323.59	$380.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $549.54	Professional		$323.59	$380.19	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $380.19	Professional		$323.59	$323.59	$380.19