Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $407.38	Facility		$144.54	$144.54	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $354.81	Professional		$144.54	$144.54	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $181.97 / $457.09	Facility		$144.54	$181.97	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $275.42	Professional		$144.54	$158.49	$275.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $263.03 / $467.74	Professional		$100.00	$263.03	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $144.54	Facility		$138.04	$138.04	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $165.96	Professional		$144.54	$144.54	$165.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $190.55	Professional		$91.20	$144.54	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $269.15	Professional		$131.83	$173.78	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $630.96 / $630.96	Professional		$616.60	$630.96	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $162.18 / $251.19	Facility		$144.54	$162.18	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $147.91	Professional		$125.89	$125.89	$147.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $165.96	Professional		$91.20	$138.04	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $229.09	Professional		$125.89	$181.97	$229.09