Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.60 / $6,121.22 / $12,943.98	Facility		$612.60	$6,121.22	$12,943.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.60 / $673.86 / $10,608.00	Professional		$612.60	$673.86	$10,608.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.17 / $665.57 / $1,190.33	Facility		$432.17	$665.57	$1,190.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.46 / $627.36 / $1,225.20	Professional		$590.46	$627.36	$1,225.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $834.34 / $1,489.90	Facility		$97.00	$834.34	$1,489.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $420.10 / $600.14 / $1,235.33	Professional		$420.10	$600.14	$1,235.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $879.62 / $1,230.24	Facility		$627.36	$879.62	$1,230.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $551.96 / $551.96 / $662.35	Professional		$551.96	$551.96	$662.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $699.00 / $2,187.00	Professional		$393.93	$699.00	$2,187.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $701.17 / $2,460.48 / $2,611.35	Facility		$701.17	$2,460.48	$2,611.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.17 / $2,804.67 / $3,133.62	Professional		$2,646.17	$2,804.67	$3,133.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $631.04 / $806.35 / $1,002.67	Facility		$631.04	$806.35	$1,002.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $793.85	Professional		$627.36	$627.36	$793.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $547.50 / $547.50 / $711.75	Professional		$547.50	$547.50	$711.75
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $1,168.80	Professional		$615.05	$615.05	$1,168.80