Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $630.96 / $1,071.52	Facility		$208.93	$630.96	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $199.53	Professional		$128.82	$154.88	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $1,023.29	Facility		$501.19	$1,000.00	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.98 / $36.31	Professional		$13.18	$16.98	$36.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $398.11	Professional		$117.49	$154.88	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $338.84 / $707.95	Facility		$131.83	$338.84	$707.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $269.15	Professional		$199.53	$239.88	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $346.74	Professional		$181.97	$218.78	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $1,513.56	Professional		$1,000.00	$1,513.56	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $239.88 / $524.81	Facility		$134.90	$239.88	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $288.40	Professional		$199.53	$218.78	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $199.53 / $199.53	Facility		$83.18	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $380.19	Professional		$83.18	$83.18	$380.19