Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.66 / $609.66 / $7,897.60	Facility		$609.66	$609.66	$7,897.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $609.66 / $634.29	Professional		$587.63	$609.66	$634.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.31 / $704.54 / $1,350.07	Facility		$495.31	$704.54	$1,350.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $686.79 / $1,219.33	Professional		$624.36	$686.79	$1,219.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $710.59 / $2,771.59	Facility		$92.60	$710.59	$2,771.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Facility		$624.36	$624.36	$624.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $960.00	Professional		$800.00	$800.00	$960.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,034.00 / $1,960.00	Professional		$393.93	$1,034.00	$1,960.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $697.81 / $3,493.76 / $4,356.30	Facility		$697.81	$3,493.76	$4,356.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,757.44 / $3,757.44 / $4,449.60	Professional		$3,757.44	$3,757.44	$4,449.60
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 $624.36 / $768.18 / $1,270.01	Facility		$624.36	$768.18	$1,270.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $1,174.20	Professional		$624.36	$624.36	$1,174.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,040.00	Professional		$800.00	$800.00	$1,040.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $1,185.17	Professional		$612.11	$612.11	$1,185.17