Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.25 / $1,223.66 / $3,363.78	Facility		$351.25	$1,223.66	$3,363.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $388.71 / $398.08	Professional		$255.24	$388.71	$398.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,346.33	Facility		$244.00	$614.00	$2,346.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $213.40 / $350.06	Professional		$187.20	$213.40	$350.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $213.09 / $304.41 / $761.18	Professional		$213.09	$304.41	$761.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.98 / $785.38 / $1,567.71	Facility		$308.98	$785.38	$1,567.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $562.00 / $749.33	Professional		$468.33	$562.00	$749.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.50 / $538.58 / $894.51	Professional		$421.50	$538.58	$894.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $814.89 / $2,224.57 / $2,224.57	Facility		$814.89	$2,224.57	$2,224.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,332.28 / $2,332.28 / $3,512.48	Professional		$2,332.28	$2,332.28	$3,512.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.66 / $562.00 / $1,242.59	Facility		$374.66	$562.00	$1,242.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $515.16 / $702.50	Professional		$468.33	$515.16	$702.50
United Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $210.75 / $1,041.09	Professional		$196.70	$210.75	$1,041.09