Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $569.54 / $1,488.97	Facility		$155.47	$569.54	$1,488.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $172.07 / $176.21	Professional		$112.98	$172.07	$176.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,415.52	Facility		$244.00	$614.00	$2,415.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $318.60 / $516.67	Professional		$109.93	$318.60	$516.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $219.37 / $313.39 / $783.63	Professional		$219.37	$313.39	$783.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.26 / $805.41 / $1,613.96	Facility		$310.26	$805.41	$1,613.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.84 / $1,640.24 / $1,807.50	Professional		$1,599.84	$1,640.24	$1,807.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $385.71 / $482.14 / $650.89	Professional		$385.71	$482.14	$650.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $554.46 / $920.89	Professional		$433.93	$554.46	$920.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $838.92 / $2,290.17 / $2,290.17	Facility		$838.92	$2,290.17	$2,290.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,401.06 / $2,401.06 / $3,616.05	Professional		$2,401.06	$2,401.06	$3,616.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.19 / $578.57 / $1,279.26	Facility		$234.19	$578.57	$1,279.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $530.35 / $1,619.23	Professional		$228.04	$530.35	$1,619.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $385.71 / $433.93 / $655.71	Professional		$385.71	$433.93	$655.71
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $94.33 / $533.41	Professional		$87.07	$94.33	$533.41