Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $1,218.02 / $3,348.23	Facility		$349.63	$1,218.02	$3,348.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $386.92 / $396.24	Professional		$254.06	$386.92	$396.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,335.51	Facility		$244.00	$614.00	$2,335.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $503.53 / $1,028.23	Professional		$423.14	$503.53	$1,028.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $337.04 / $1,314.60	Facility		$92.60	$337.04	$1,314.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $212.11 / $303.01 / $757.68	Professional		$212.11	$303.01	$757.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.56 / $656.32 / $1,525.66	Facility		$307.56	$656.32	$1,525.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $559.40 / $745.87	Professional		$466.17	$559.40	$745.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $536.10 / $890.38	Professional		$419.55	$536.10	$890.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $811.14 / $2,214.31 / $2,214.31	Facility		$811.14	$2,214.31	$2,214.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.53 / $2,321.53 / $3,496.28	Professional		$2,321.53	$2,321.53	$3,496.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.94 / $559.40 / $1,236.89	Facility		$372.94	$559.40	$1,236.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $512.79 / $699.26	Professional		$466.17	$512.79	$699.26
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $923.02	Professional		$195.79	$195.79	$923.02