Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $4,786.30	Facility		$954.99	$2,818.38	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $758.58	Professional		$446.68	$562.34	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $3,467.37	Facility		$1,737.80	$3,467.37	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $660.69	Professional		$338.84	$436.52	$660.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,380.38	Professional		$407.38	$537.03	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,148.15 / $2,454.71	Facility		$457.09	$1,148.15	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $933.25	Professional		$691.83	$831.76	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,202.26	Professional		$616.60	$758.58	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,128.61 / $5,128.61	Professional		$3,467.37	$5,128.61	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,819.70	Facility		$524.81	$831.76	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $1,000.00	Professional		$691.83	$758.58	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $691.83 / $691.83	Facility		$288.40	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $1,318.26	Professional		$288.40	$288.40	$1,318.26