Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.75 / $415.38 / $882.28	Facility		$204.75	$415.38	$882.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $293.39 / $415.38	Professional		$163.68	$293.39	$415.38
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 $60.00 / $194.12 / $355.66	Professional		$60.00	$194.12	$355.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $394.02 / $717.59	Facility		$97.00	$394.02	$717.59
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 $305.39 / $305.39 / $305.39	Facility		$305.39	$305.39	$305.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $240.27 / $240.27 / $288.32	Professional		$240.27	$240.27	$288.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $689.52	Facility		$100.00	$100.00	$689.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $476.77 / $476.77 / $476.77	Professional		$476.77	$476.77	$476.77
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 $163.79 / $293.39 / $475.52	Facility		$163.79	$293.39	$475.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $344.33	Professional		$147.34	$147.34	$344.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $240.27 / $264.30 / $408.46	Professional		$240.27	$264.30	$408.46
United Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $242.40 / $242.40	Professional		$197.62	$242.40	$242.40