Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.40 / $596.14 / $1,756.23	Facility		$247.40	$596.14	$1,756.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $247.40 / $253.36	Professional		$238.46	$247.40	$253.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.84 / $408.65 / $842.30	Facility		$255.84	$408.65	$842.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.58 / $253.36 / $494.80	Professional		$242.58	$253.36	$494.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $188.75 / $736.20	Facility		$92.60	$188.75	$736.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Facility		$253.36	$253.36	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $243.52 / $292.22	Professional		$243.52	$243.52	$292.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $451.00 / $677.00	Professional		$243.52	$451.00	$677.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $277.61 / $1,201.00 / $1,265.90	Facility		$277.61	$1,201.00	$1,265.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.82 / $1,110.44 / $1,284.26	Professional		$1,037.82	$1,110.44	$1,284.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $273.22	Professional		$60.00	$60.00	$273.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $298.07 / $368.12	Facility		$253.36	$298.07	$368.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $325.33	Professional		$253.36	$253.36	$325.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $322.91	Professional		$248.39	$248.39	$322.91
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $471.64	Professional		$248.39	$248.39	$471.64