Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $634.84 / $1,652.22	Facility		$318.52	$634.84	$1,652.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $320.60 / $545.33	Professional		$318.52	$320.60	$545.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.93 / $508.79 / $1,140.53	Facility		$337.93	$508.79	$1,140.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $329.40 / $697.72	Professional		$317.42	$329.40	$697.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $450.75	Facility		$77.70	$100.00	$450.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $324.54 / $324.54 / $769.91	Professional		$324.54	$324.54	$769.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $300.50 / $318.52	Facility		$300.50	$300.50	$318.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $374.18	Professional		$318.52	$318.52	$374.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $313.00 / $420.33	Professional		$311.36	$313.00	$420.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.68 / $382.24 / $700.77	Professional		$286.68	$382.24	$700.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $416.34 / $1,560.80 / $1,592.65	Facility		$416.34	$1,560.80	$1,592.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.70 / $1,374.70 / $1,374.70	Professional		$1,374.70	$1,374.70	$1,374.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $638.28 / $638.28 / $638.28	Professional		$638.28	$638.28	$638.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $331.27 / $542.53	Facility		$318.52	$331.27	$542.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $389.20	Professional		$318.52	$318.52	$389.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $254.82 / $317.42 / $476.13	Professional		$254.82	$317.42	$476.13
United Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $581.00	Professional		$318.52	$318.52	$581.00