Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $465.97	Facility		$461.36	$461.36	$465.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $507.49	Professional		$461.36	$461.36	$507.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.82 / $383.29 / $648.50	Facility		$318.82	$383.29	$648.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.31 / $396.37 / $815.94	Professional		$330.31	$396.37	$815.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $346.02	Professional		$100.00	$100.00	$346.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $435.24 / $461.36	Facility		$435.24	$435.24	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $565.80	Professional		$461.36	$461.36	$565.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $521.03 / $703.39	Professional		$106.02	$521.03	$703.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.22 / $576.70 / $1,005.76	Professional		$415.22	$576.70	$1,005.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $2,300.41 / $3,171.34	Facility		$1,417.80	$2,300.41	$3,171.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,092.01 / $3,610.00 / $3,975.44	Professional		$3,092.01	$3,610.00	$3,975.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.62 / $703.39 / $1,068.11	Professional		$116.62	$703.39	$1,068.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $498.27 / $794.29	Facility		$461.36	$498.27	$794.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $1,170.55	Professional		$461.36	$461.36	$1,170.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $127.22 / $507.49	Professional		$106.02	$127.22	$507.49
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $982.60	Professional		$461.36	$461.36	$982.60