Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.47 / $666.60 / $1,731.63	Facility		$308.47	$666.60	$1,731.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $308.47 / $371.65	Professional		$297.32	$308.47	$371.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.86 / $540.49 / $1,212.21	Facility		$329.86	$540.49	$1,212.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $315.89 / $527.62	Professional		$21.84	$315.89	$527.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $371.65	Facility		$77.09	$100.00	$371.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $327.79 / $327.79 / $690.72	Professional		$327.79	$327.79	$690.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Facility		$321.72	$321.72	$321.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $371.65	Professional		$321.72	$321.72	$371.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $326.18 / $326.18 / $440.34	Professional		$326.18	$326.18	$440.34
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 $337.86 / $1,641.45 / $1,641.45	Facility		$337.86	$1,641.45	$1,641.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.67 / $1,255.67 / $1,255.67	Professional		$1,255.67	$1,255.67	$1,255.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $699.09 / $699.09	Professional		$60.00	$699.09	$699.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.85 / $297.32 / $323.89	Facility		$151.85	$297.32	$323.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $371.65	Professional		$321.72	$321.72	$371.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $418.24 / $482.58	Professional		$321.72	$418.24	$482.58
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $309.70 / $594.95	Professional		$309.70	$309.70	$594.95