Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.23 / $1,937.78 / $5,326.80	Facility		$556.23	$1,937.78	$5,326.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.19 / $615.55 / $630.39	Professional		$404.19	$615.55	$630.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,715.62	Facility		$244.00	$614.00	$3,715.62
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 $337.45 / $496.53 / $1,370.67	Professional		$337.45	$496.53	$1,370.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $889.97 / $1,186.61	Professional		$741.64	$889.97	$1,186.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.48 / $852.89 / $1,416.53	Professional		$667.48	$852.89	$1,416.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,290.45 / $3,522.79 / $3,522.79	Facility		$1,290.45	$3,522.79	$3,522.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,693.37 / $3,693.37 / $5,562.30	Professional		$3,693.37	$3,693.37	$5,562.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.39 / $889.97 / $1,186.61	Facility		$630.39	$889.97	$1,186.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $815.80 / $1,112.46	Professional		$741.64	$815.80	$1,112.46
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $324.07 / $2,152.46	Professional		$311.49	$324.07	$2,152.46