Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.13 / $454.70 / $1,188.75	Facility		$124.13	$454.70	$1,188.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $137.37 / $140.68	Professional		$90.20	$137.37	$140.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,041.22	Facility		$244.00	$614.00	$2,041.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $188.73 / $379.77	Professional		$66.20	$188.73	$379.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $218.47 / $1,494.56	Facility		$58.90	$218.47	$1,494.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $185.38 / $264.83 / $662.21	Professional		$185.38	$264.83	$662.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.18 / $683.26 / $1,363.87	Facility		$262.18	$683.26	$1,363.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $112.55 / $112.55	Professional		$112.55	$112.55	$112.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $325.94 / $407.43 / $550.03	Professional		$325.94	$407.43	$550.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $468.54 / $778.19	Professional		$366.69	$468.54	$778.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $708.93 / $1,935.29 / $1,935.29	Facility		$708.93	$1,935.29	$1,935.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,029.00 / $2,029.00 / $3,055.73	Professional		$2,029.00	$2,029.00	$3,055.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.97 / $488.92 / $1,081.04	Facility		$186.97	$488.92	$1,081.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $448.17 / $611.15	Professional		$407.43	$448.17	$611.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $325.94 / $366.69 / $554.10	Professional		$325.94	$366.69	$554.10
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $75.31 / $444.51	Professional		$69.51	$75.31	$444.51