Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $880.80	Facility		$872.08	$872.08	$880.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $880.80 / $915.68	Professional		$872.08	$880.80	$915.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.93 / $1,011.96 / $1,712.15	Facility		$849.93	$1,011.96	$1,712.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $2,066.83	Professional		$872.08	$872.08	$2,066.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $268.36 / $479.21	Facility		$96.60	$268.36	$479.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $242.00 / $537.24	Professional		$169.40	$242.00	$537.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.08 / $872.08 / $872.08	Facility		$872.08	$872.08	$872.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $933.53	Professional		$872.08	$872.08	$933.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $311.36 / $373.63	Professional		$311.36	$311.36	$373.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $393.93 / $801.00	Professional		$129.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $572.35 / $1,037.39 / $1,037.39	Facility		$572.35	$1,037.39	$1,037.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.97 / $1,573.97 / $1,573.97	Professional		$1,573.97	$1,573.97	$1,573.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $342.49 / $1,895.02 / $1,895.02	Professional		$342.49	$1,895.02	$1,895.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.07 / $872.08 / $947.96	Facility		$323.07	$872.08	$947.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $904.99	Professional		$872.08	$872.08	$904.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $311.36 / $404.77	Professional		$311.36	$311.36	$404.77
United Facility/Professional Professional Modifier Low / Median / High Price $872.08 / $872.08 / $1,657.21	Professional		$872.08	$872.08	$1,657.21