Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.29 / $244.29 / $307.52	Facility		$244.29	$244.29	$307.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $159.02 / $307.52	Professional		$16.29	$159.02	$307.52
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 $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $300.16 / $546.64	Facility		$97.00	$300.16	$546.64
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 $381.11 / $381.11 / $381.11	Facility		$381.11	$381.11	$381.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $195.18 / $234.22	Professional		$195.18	$195.18	$234.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $638.07 / $801.00	Professional		$214.70	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $381.11	Facility		$100.00	$100.00	$381.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $244.14 / $244.14 / $244.14	Professional		$244.14	$244.14	$244.14
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 $16.29 / $46.24 / $392.09	Facility		$16.29	$46.24	$392.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $214.70 / $331.81	Professional		$195.18	$214.70	$331.81
United Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $249.47 / $249.47	Professional		$117.05	$249.47	$249.47