Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.76 / $839.19 / $1,917.60	Facility		$562.76	$839.19	$1,917.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.45 / $791.28 / $961.51	Professional		$344.45	$791.28	$961.51
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 / $1,043.49 / $1,900.39	Facility		$97.00	$1,043.49	$1,900.39
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 $734.67 / $734.67 / $734.67	Facility		$734.67	$734.67	$734.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $624.66 / $624.66 / $749.59	Professional		$624.66	$624.66	$749.59
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 / $2,770.22	Facility		$100.00	$100.00	$2,770.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.37 / $1,384.37 / $1,384.37	Professional		$1,384.37	$1,384.37	$1,384.37
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 $344.45 / $808.34 / $1,201.97	Facility		$344.45	$808.34	$1,201.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.52 / $240.52 / $240.52	Professional		$240.52	$240.52	$240.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $624.66 / $687.13 / $1,061.92	Professional		$624.66	$687.13	$1,061.92
United Facility/Professional Professional Modifier Low / Median / High Price $437.68 / $683.77 / $683.77	Professional		$437.68	$683.77	$683.77