Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.14 / $570.00 / $1,201.29	Facility		$351.14	$570.00	$1,201.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.06 / $798.38 / $798.38	Professional		$327.06	$798.38	$798.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $1,294.00 / $1,610.00	Facility		$357.00	$1,294.00	$1,610.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $812.79 / $1,480.24	Facility		$97.00	$812.79	$1,480.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $100.00	Professional		$40.00	$40.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.54 / $478.54 / $478.54	Facility		$478.54	$478.54	$478.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $499.53 / $499.53 / $599.44	Professional		$499.53	$499.53	$599.44
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 $100.00 / $100.00 / $1,101.05	Facility		$100.00	$100.00	$1,101.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $753.66 / $753.66 / $753.66	Professional		$753.66	$753.66	$753.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.06 / $742.96 / $846.23	Facility		$327.06	$742.96	$846.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.51 / $291.51 / $291.51	Professional		$291.51	$291.51	$291.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $499.53 / $549.48 / $849.20	Professional		$499.53	$549.48	$849.20
United Facility/Professional Professional Modifier Low / Median / High Price $440.40 / $636.29 / $636.29	Professional		$440.40	$636.29	$636.29