Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $851.14 / $1,412.54	Facility		$288.40	$851.14	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $363.08 / $467.74	Professional		$134.90	$363.08	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $2,454.71	Facility		$1,202.26	$2,398.83	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $338.84 / $616.60	Professional		$112.20	$338.84	$616.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $954.99	Professional		$281.84	$371.54	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $812.83 / $1,698.24	Facility		$158.49	$812.83	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $645.65	Professional		$389.05	$478.63	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $851.14	Professional		$436.52	$524.81	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $3,630.78	Professional		$2,398.83	$3,630.78	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $575.44 / $1,258.93	Facility		$245.47	$575.44	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $524.81 / $691.83	Professional		$229.09	$524.81	$691.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $5,754.40	Professional		$389.05	$478.63	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $478.63 / $478.63	Facility		$204.17	$478.63	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $537.03	Professional		$87.10	$93.33	$537.03