Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $434.18 / $1,126.05	Facility		$217.09	$434.18	$1,126.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $219.26 / $372.96	Professional		$217.09	$219.26	$372.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.31 / $346.76 / $777.31	Facility		$230.31	$346.76	$777.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $225.28 / $512.00	Professional		$217.09	$225.28	$512.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $100.00 / $245.76	Facility		$77.40	$100.00	$245.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $221.18 / $221.18 / $491.02	Professional		$221.18	$221.18	$491.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $204.80 / $217.09	Facility		$204.80	$204.80	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $235.52	Professional		$217.09	$217.09	$235.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $236.23 / $289.92	Professional		$214.76	$236.23	$289.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $260.51 / $460.00	Professional		$195.38	$260.51	$460.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $285.67 / $1,073.80 / $1,085.45	Facility		$285.67	$1,073.80	$1,085.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $948.17 / $948.17 / $948.17	Professional		$948.17	$948.17	$948.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $440.25 / $440.25 / $440.25	Professional		$440.25	$440.25	$440.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $225.77 / $369.59	Facility		$217.09	$225.77	$369.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $268.45	Professional		$217.09	$217.09	$268.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $217.09 / $325.63	Professional		$173.67	$217.09	$325.63
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $221.43 / $387.22	Professional		$217.09	$221.43	$387.22