Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.72 / $1,803.62 / $4,958.04	Facility		$517.72	$1,803.62	$4,958.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.21 / $572.94 / $586.75	Professional		$376.21	$572.94	$586.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,458.35	Facility		$244.00	$614.00	$3,458.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $382.27 / $619.88	Professional		$335.33	$382.27	$619.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $314.08 / $448.69 / $1,121.95	Professional		$314.08	$448.69	$1,121.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.42 / $1,157.61 / $2,310.75	Facility		$455.42	$1,157.61	$2,310.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $690.29 / $828.35 / $1,104.46	Professional		$690.29	$828.35	$1,104.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.26 / $793.83 / $1,318.45	Professional		$621.26	$793.83	$1,318.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,201.09 / $3,278.88 / $3,278.88	Facility		$1,201.09	$3,278.88	$3,278.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,437.64 / $3,437.64 / $5,177.18	Professional		$3,437.64	$3,437.64	$5,177.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.23 / $828.35 / $1,831.55	Facility		$552.23	$828.35	$1,831.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $690.29 / $759.32 / $1,035.44	Professional		$690.29	$759.32	$1,035.44
United Facility/Professional Professional Modifier Low / Median / High Price $289.92 / $310.63 / $1,776.12	Professional		$289.92	$310.63	$1,776.12