Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.10 / $930.52 / $2,557.90	Facility		$267.10	$930.52	$2,557.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.09 / $295.58 / $302.70	Professional		$194.09	$295.58	$302.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,784.21	Facility		$244.00	$614.00	$1,784.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $275.08 / $405.40	Professional		$241.31	$275.08	$405.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,187.60 / $5,008.39 / $6,102.80	Facility		$4,187.60	$5,008.39	$6,102.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.04 / $231.48 / $578.82	Professional		$162.04	$231.48	$578.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.95 / $597.22 / $1,192.11	Facility		$234.95	$597.22	$1,192.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $427.36 / $569.80	Professional		$356.13	$427.36	$569.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $409.55 / $680.21	Professional		$320.52	$409.55	$680.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $619.66 / $1,691.62 / $1,691.62	Facility		$619.66	$1,691.62	$1,691.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,773.53 / $1,773.53 / $2,670.98	Professional		$1,773.53	$1,773.53	$2,670.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.47 / $538.41 / $1,078.70	Facility		$238.47	$538.41	$1,078.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $391.74 / $534.20	Professional		$356.13	$391.74	$534.20
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $149.57 / $714.75	Professional		$149.57	$149.57	$714.75