Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $4,786.30	Facility		$549.54	$562.34	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $4,265.80	Professional		$549.54	$549.54	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $1,778.28	Facility		$549.54	$691.83	$1,778.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $2,238.72	Professional		$549.54	$588.84	$2,238.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,949.84 / $3,467.37	Professional		$100.00	$1,949.84	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Facility		$524.81	$524.81	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $676.08	Professional		$549.54	$549.54	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $549.54 / $724.44	Professional		$120.23	$549.54	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $275.42	Professional		$131.83	$173.78	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,715.19 / $10,715.19	Professional		$10,471.29	$10,715.19	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $549.54 / $1,071.52	Facility		$169.82	$549.54	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,949.84	Professional		$125.89	$125.89	$1,949.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $204.17	Professional		$120.23	$147.91	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $316.23 / $2,691.53	Professional		$125.89	$316.23	$2,691.53