Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $523.11	Facility		$245.30	$245.30	$523.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $247.76 / $272.52	Professional		$245.30	$247.76	$272.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.73 / $280.67 / $474.86	Facility		$235.73	$280.67	$474.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $255.56 / $636.54	Professional		$241.87	$255.56	$636.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $178.34 / $1,341.66	Facility		$84.80	$178.34	$1,341.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $249.93 / $249.93 / $554.84	Professional		$249.93	$249.93	$554.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.42 / $231.42 / $245.30	Facility		$231.42	$231.42	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $323.08	Professional		$245.30	$245.30	$323.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.73 / $242.73 / $327.68	Professional		$223.73	$242.73	$327.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $306.63 / $539.66	Professional		$220.77	$306.63	$539.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $326.30 / $351.10 / $1,071.67	Facility		$326.30	$351.10	$1,071.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.67 / $1,071.67 / $1,071.67	Professional		$1,071.67	$1,071.67	$1,071.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $497.59 / $497.59 / $497.59	Professional		$497.59	$497.59	$497.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $269.83 / $417.50	Facility		$245.30	$269.83	$417.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $323.08	Professional		$245.30	$245.30	$323.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $196.24 / $223.73 / $269.83	Professional		$196.24	$223.73	$269.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $504.19	Professional		$245.30	$245.30	$504.19