Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.50 / $1,855.12 / $5,099.57	Facility		$532.50	$1,855.12	$5,099.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.95 / $589.29 / $603.50	Professional		$386.95	$589.29	$603.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,557.10	Facility		$244.00	$614.00	$3,557.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $382.27 / $627.05	Professional		$335.33	$382.27	$627.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $323.05 / $475.35 / $1,312.18	Professional		$323.05	$475.35	$1,312.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $852.00 / $1,136.00	Professional		$710.00	$852.00	$1,136.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $816.50 / $1,356.10	Professional		$639.00	$816.50	$1,356.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,235.40 / $3,372.50 / $3,372.50	Facility		$1,235.40	$3,372.50	$3,372.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,535.80 / $3,535.80 / $5,325.00	Professional		$3,535.80	$3,535.80	$5,325.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $603.50 / $852.00 / $1,136.00	Facility		$603.50	$852.00	$1,136.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $781.00 / $1,065.00	Professional		$710.00	$781.00	$1,065.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $298.20 / $1,363.91	Professional		$298.20	$298.20	$1,363.91