Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $5,128.61	Facility		$1,047.13	$3,090.30	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $794.33	Professional		$467.74	$602.56	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $3,801.89	Facility		$1,905.46	$3,715.35	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $676.08	Professional		$338.84	$436.52	$676.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,479.11	Professional		$436.52	$575.44	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,258.93 / $2,630.27	Facility		$489.78	$1,258.93	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,000.00	Professional		$741.31	$891.25	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,318.26	Professional		$676.08	$831.76	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,623.41 / $5,623.41	Professional		$3,715.35	$5,623.41	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,949.84	Facility		$575.44	$891.25	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,071.52	Professional		$741.31	$831.76	$1,071.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $741.31	Professional		$602.56	$676.08	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $741.31 / $741.31	Facility		$316.23	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $1,445.44	Professional		$316.23	$316.23	$1,445.44