Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $179.44 / $200.30	Facility		$179.44	$179.44	$200.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.44 / $268.68 / $442.92	Professional		$179.44	$268.68	$442.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $35.89 / $95.59	Facility		$29.89	$35.89	$95.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $326.18 / $783.55	Professional		$276.95	$326.18	$783.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $80.45 / $116.47	Facility		$52.56	$80.45	$116.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $471.39 / $638.04 / $879.60	Professional		$471.39	$638.04	$879.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $338.00 / $447.88	Facility		$338.00	$338.00	$447.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.30 / $338.00 / $618.75	Professional		$287.30	$338.00	$618.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $443.14 / $443.14 / $531.77	Professional		$443.14	$443.14	$531.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $497.00 / $801.00	Professional		$384.00	$497.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $422.00 / $1,637.27 / $1,696.94	Facility		$422.00	$1,637.27	$1,696.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.69 / $279.16 / $452.67	Facility		$50.69	$279.16	$452.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.30 / $338.00 / $338.00	Professional		$287.30	$338.00	$338.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $443.14 / $443.14 / $664.71	Professional		$443.14	$443.14	$664.71
United Facility/Professional Professional Modifier Low / Median / High Price $195.27 / $214.82 / $335.12	Professional		$195.27	$214.82	$335.12