Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $661.85	Facility		$655.29	$655.29	$661.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $720.83	Professional		$655.29	$655.29	$720.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.88 / $847.59 / $1,434.05	Facility		$711.88	$847.59	$1,434.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $771.78 / $2,058.65	Professional		$655.29	$771.78	$2,058.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $100.00 / $1,445.35	Facility		$87.40	$100.00	$1,445.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $524.24	Professional		$100.00	$100.00	$524.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.21 / $618.21 / $655.29	Facility		$618.21	$618.21	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $803.67	Professional		$655.29	$655.29	$803.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.31 / $1,117.94 / $1,372.02	Professional		$1,016.31	$1,117.94	$1,372.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.77 / $819.13 / $1,441.66	Professional		$589.77	$819.13	$1,441.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.50 / $4,487.09 / $5,146.99	Facility		$1,487.50	$4,487.09	$5,146.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,487.09 / $5,361.66 / $5,727.50	Professional		$4,487.09	$5,361.66	$5,727.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $1,372.01 / $2,083.43	Professional		$70.00	$1,372.01	$2,083.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $720.83 / $1,175.51	Facility		$655.29	$720.83	$1,175.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $1,578.71	Professional		$655.29	$655.29	$1,578.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $524.24 / $1,016.31 / $1,219.57	Professional		$524.24	$1,016.31	$1,219.57
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $1,433.60	Professional		$655.29	$655.29	$1,433.60