Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.57 / $1,064.56 / $2,926.40	Facility		$305.57	$1,064.56	$2,926.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.05 / $338.17 / $346.32	Professional		$222.05	$338.17	$346.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,041.22	Facility		$244.00	$614.00	$2,041.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $111.84 / $183.46	Professional		$98.11	$111.84	$183.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $185.38 / $264.83 / $662.21	Professional		$185.38	$264.83	$662.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.80 / $683.26 / $1,363.87	Facility		$268.80	$683.26	$1,363.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $488.92 / $651.89	Professional		$407.43	$488.92	$651.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.69 / $468.54 / $778.19	Professional		$366.69	$468.54	$778.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $708.93 / $1,935.29 / $1,935.29	Facility		$708.93	$1,935.29	$1,935.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,029.00 / $2,029.00 / $3,055.73	Professional		$2,029.00	$2,029.00	$3,055.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.94 / $488.92 / $1,081.04	Facility		$325.94	$488.92	$1,081.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $448.17 / $611.15	Professional		$407.43	$448.17	$611.15
United Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $178.03 / $1,048.32	Professional		$171.12	$178.03	$1,048.32