Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.56 / $247.76 / $247.76	Facility		$212.56	$247.76	$247.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $151.57 / $247.76	Professional		$109.34	$151.57	$247.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.16 / $159.18 / $420.87	Facility		$132.16	$159.18	$420.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $183.74 / $195.00	Professional		$183.74	$183.74	$195.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $575.07 / $808.23 / $1,186.08	Professional		$575.07	$808.23	$1,186.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $273.79	Facility		$210.68	$210.68	$273.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $217.00	Professional		$153.80	$153.80	$217.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $171.02 / $205.22	Professional		$171.02	$171.02	$205.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $275.00	Professional		$275.00	$275.00	$275.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.65 / $1,208.97 / $1,208.97	Facility		$537.65	$1,208.97	$1,208.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,545.97 / $1,607.81 / $1,864.13	Professional		$1,545.97	$1,607.81	$1,864.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $85.00	Professional		$70.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.34 / $223.40 / $399.26	Facility		$109.34	$223.40	$399.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $210.68	Professional		$153.80	$153.80	$210.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $171.02 / $256.52	Professional		$171.02	$171.02	$256.52
United Facility/Professional Professional Modifier Low / Median / High Price $134.59 / $142.69 / $336.61	Professional		$134.59	$142.69	$336.61