Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $487.64 / $1,339.16	Facility		$243.71	$487.64	$1,339.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $246.15 / $568.41	Professional		$243.71	$246.15	$568.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.55 / $389.28 / $872.63	Facility		$258.55	$389.28	$872.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $253.02 / $535.95	Professional		$243.71	$253.02	$535.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $344.88	Facility		$77.70	$100.00	$344.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $248.31 / $248.31 / $551.25	Professional		$248.31	$248.31	$551.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.92 / $229.92 / $243.71	Facility		$229.92	$229.92	$243.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $264.39	Professional		$243.71	$243.71	$264.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $240.14 / $324.08	Professional		$240.06	$240.14	$324.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.34 / $292.45 / $496.00	Professional		$219.34	$292.45	$496.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $319.44 / $1,194.18 / $1,218.55	Facility		$319.44	$1,194.18	$1,218.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.88 / $1,059.88 / $1,059.88	Professional		$1,059.88	$1,059.88	$1,059.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $492.12 / $492.12 / $492.12	Professional		$492.12	$492.12	$492.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $253.46 / $414.74	Facility		$243.71	$253.46	$414.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $300.08	Professional		$243.71	$243.71	$300.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.97 / $243.71 / $365.57	Professional		$194.97	$243.71	$365.57
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $441.12	Professional		$243.71	$243.71	$441.12