Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,063.42	Facility		$1,052.89	$1,052.89	$1,063.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,105.53	Professional		$1,052.89	$1,052.89	$1,105.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.24 / $1,011.14 / $1,710.76	Facility		$849.24	$1,011.14	$1,710.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.37 / $1,027.56 / $2,055.13	Professional		$871.37	$1,027.56	$2,055.13
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 $320.33 / $737.02 / $1,105.53	Professional		$320.33	$737.02	$1,105.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $993.29 / $1,052.89	Facility		$993.29	$993.29	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $300.18 / $405.24	Professional		$206.74	$300.18	$405.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.60 / $1,316.11 / $2,295.30	Professional		$947.60	$1,316.11	$2,295.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $848.30 / $1,400.54 / $1,688.59	Facility		$848.30	$1,400.54	$1,688.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.33 / $2,642.15 / $3,476.52	Professional		$1,325.33	$2,642.15	$3,476.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $405.24 / $615.36	Professional		$70.00	$405.24	$615.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,792.84	Facility		$1,052.89	$1,052.89	$1,792.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.23 / $1,052.89 / $1,052.89	Professional		$375.23	$1,052.89	$1,052.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $248.09 / $1,158.18	Professional		$206.74	$248.09	$1,158.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,897.41	Professional		$1,052.89	$1,052.89	$1,897.41