Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.60 / $970.16 / $1,141.35	Facility		$430.60	$970.16	$1,141.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.09 / $430.60 / $446.17	Professional		$410.09	$430.60	$446.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.88 / $458.66 / $592.29	Facility		$292.88	$458.66	$592.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.88 / $322.92 / $551.61	Professional		$292.88	$322.92	$551.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $98.70 / $494.09	Facility		$77.00	$98.70	$494.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $492.86	Professional		$440.98	$440.98	$492.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $440.98 / $440.98	Facility		$419.98	$440.98	$440.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $411.74 / $411.74 / $555.85	Professional		$411.74	$411.74	$555.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $469.39 / $1,644.30 / $1,731.60	Facility		$469.39	$1,644.30	$1,731.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,754.69 / $1,877.54 / $2,223.41	Professional		$1,754.69	$1,877.54	$2,223.41
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 $415.04 / $440.98 / $618.26	Facility		$415.04	$440.98	$618.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $432.33 / $562.03 / $648.50	Professional		$432.33	$562.03	$648.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.88 / $1,230.88 / $1,230.88	Professional		$1,230.88	$1,230.88	$1,230.88