Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $352.51	Facility		$349.02	$349.02	$352.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $383.92	Professional		$349.02	$349.02	$383.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.49 / $413.74 / $700.01	Facility		$347.49	$413.74	$700.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $376.73 / $1,004.89	Professional		$349.02	$376.73	$1,004.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $493.89	Facility		$100.00	$100.00	$493.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $355.60 / $355.60 / $731.97	Professional		$355.60	$355.60	$731.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $329.26 / $349.01	Facility		$329.26	$329.26	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $395.11	Professional		$349.01	$349.01	$395.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $383.25 / $383.25 / $459.90	Professional		$383.25	$383.25	$459.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.12 / $436.28 / $767.84	Professional		$314.12	$436.28	$767.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $688.50 / $1,215.00 / $1,423.99	Facility		$688.50	$1,215.00	$1,423.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,835.00 / $2,835.00 / $2,835.00	Professional		$2,835.00	$2,835.00	$2,835.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $421.57 / $825.14	Professional		$70.00	$421.57	$825.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $383.92 / $594.37	Facility		$349.02	$383.92	$594.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $501.05	Professional		$349.01	$349.01	$501.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $383.25 / $459.90	Professional		$279.20	$383.25	$459.90
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $700.73	Professional		$349.02	$349.02	$700.73