Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $718.09 / $1,974.00	Facility		$206.12	$718.09	$1,974.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $228.11 / $233.61	Professional		$149.78	$228.11	$233.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,376.90	Facility		$244.00	$614.00	$1,376.90
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 $125.05 / $178.64 / $446.69	Professional		$125.05	$178.64	$446.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.32 / $460.89 / $920.00	Facility		$181.32	$460.89	$920.00
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 $219.86 / $274.83 / $371.02	Professional		$219.86	$274.83	$371.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $316.05 / $524.92	Professional		$247.35	$316.05	$524.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,305.44 / $1,305.44	Facility		$478.20	$1,305.44	$1,305.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.65 / $1,368.65 / $2,061.23	Professional		$1,368.65	$1,368.65	$2,061.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $329.80 / $729.21	Facility		$219.86	$329.80	$729.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $302.31 / $1,619.23	Professional		$274.83	$302.31	$1,619.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $247.35 / $373.76	Professional		$219.86	$247.35	$373.76
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $124.14 / $661.76	Professional		$115.43	$124.14	$661.76