Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.75 / $477.75 / $477.75	Facility		$477.75	$477.75	$477.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $477.75 / $489.26	Professional		$460.48	$477.75	$489.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.72 / $854.16 / $1,915.71	Facility		$513.72	$854.16	$1,915.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.26 / $508.43 / $936.98	Professional		$489.26	$508.43	$936.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $828.86	Facility		$77.09	$100.00	$828.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $477.75 / $477.75 / $1,164.60	Professional		$477.75	$477.75	$1,164.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.43 / $508.43 / $899.06	Facility		$508.43	$508.43	$899.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $575.60	Professional		$508.43	$508.43	$575.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $506.46 / $506.46 / $683.72	Professional		$506.46	$506.46	$683.72
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 $575.60 / $2,644.30 / $2,644.30	Facility		$575.60	$2,644.30	$2,644.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.87 / $1,913.87 / $1,913.87	Professional		$1,913.87	$1,913.87	$1,913.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $1,104.80 / $1,104.80	Professional		$60.00	$1,104.80	$1,104.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.75 / $508.43 / $683.18	Facility		$477.75	$508.43	$683.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $622.83	Professional		$508.43	$508.43	$622.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $652.60 / $753.00	Professional		$502.00	$652.60	$753.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $575.60 / $1,045.40	Professional		$575.60	$575.60	$1,045.40