Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.60 / $472.50 / $701.68	Facility		$222.60	$472.50	$701.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $174.10 / $370.91	Professional		$89.88	$174.10	$370.91
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 $246.81 / $249.99 / $650.00	Professional		$246.81	$249.99	$650.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $461.53 / $817.80	Facility		$97.00	$461.53	$817.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $211.40 / $302.00 / $672.92	Professional		$211.40	$302.00	$672.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.49 / $263.49 / $316.19	Professional		$263.49	$263.49	$316.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.49 / $638.07 / $801.00	Professional		$263.49	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $894.40	Facility		$100.00	$100.00	$894.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $690.53 / $690.53 / $690.53	Professional		$690.53	$690.53	$690.53
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 $147.99 / $193.25 / $568.29	Facility		$147.99	$193.25	$568.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $498.71	Professional		$161.72	$161.72	$498.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.49 / $289.83 / $447.93	Professional		$263.49	$289.83	$447.93
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $269.67 / $269.67	Professional		$45.00	$269.67	$269.67