Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,995.26 / $3,311.31	Facility		$676.08	$1,995.26	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $537.03	Professional		$302.00	$398.11	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,454.71 / $2,454.71	Facility		$1,230.27	$2,454.71	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $707.95 / $1,122.02	Professional		$295.12	$707.95	$1,122.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $812.83	Professional		$281.84	$363.08	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $691.83 / $1,621.81	Facility		$331.13	$691.83	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $724.44	Professional		$489.78	$537.03	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $851.14	Professional		$436.52	$537.03	$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 $371.54 / $588.84 / $1,258.93	Facility		$371.54	$588.84	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $537.03	Professional		$489.78	$537.03	$537.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $7,244.36	Professional		$389.05	$549.54	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $489.78 / $489.78	Facility		$204.17	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $933.25	Professional		$204.17	$204.17	$933.25