Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $676.08 / $1,122.02	Facility		$229.09	$676.08	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $309.03 / $398.11	Professional		$100.00	$309.03	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $2,089.30	Facility		$1,023.29	$2,041.74	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $190.55 / $426.58	Professional		$77.62	$190.55	$426.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $398.11 / $1,621.81	Facility		$61.66	$398.11	$1,621.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $812.83	Professional		$239.88	$309.03	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $676.08 / $1,445.44	Facility		$131.83	$676.08	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $549.54	Professional		$323.59	$446.68	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $707.95	Professional		$363.08	$446.68	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $3,090.30	Professional		$2,041.74	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $1,071.52	Facility		$199.53	$489.78	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $588.84	Professional		$407.38	$446.68	$588.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $4,897.79	Professional		$323.59	$407.38	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $407.38 / $407.38	Facility		$169.82	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $446.68	Professional		$69.18	$75.86	$446.68