Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,659.59 / $2,818.38	Facility		$562.34	$1,659.59	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $457.09	Professional		$263.03	$331.13	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $2,089.30	Facility		$1,023.29	$2,041.74	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $239.88	Professional		$97.72	$125.89	$239.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $812.83	Professional		$239.88	$316.23	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $676.08 / $1,445.44	Facility		$269.15	$676.08	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $549.54	Professional		$407.38	$489.78	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $707.95	Professional		$363.08	$446.68	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $3,090.30	Professional		$2,041.74	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $489.78 / $1,071.52	Facility		$309.03	$489.78	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $588.84	Professional		$407.38	$446.68	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $407.38 / $407.38	Facility		$169.82	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $776.25	Professional		$169.82	$169.82	$776.25