Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.89 / $644.11 / $1,770.61	Facility		$184.89	$644.11	$1,770.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $204.61 / $209.54	Professional		$134.35	$204.61	$209.54
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 $98.61 / $281.11 / $565.64	Professional		$98.61	$281.11	$565.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $325.41 / $2,226.08	Facility		$58.90	$325.41	$2,226.08
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 $167.63 / $167.63 / $167.63	Professional		$167.63	$167.63	$167.63
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 $264.83 / $488.92 / $1,081.04	Facility		$264.83	$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 $103.54 / $112.17 / $634.29	Professional		$103.54	$112.17	$634.29