Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.89 / $644.11 / $1,770.61	Facility		$184.89	$644.11	$1,770.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $209.54 / $233.61	Professional		$134.35	$209.54	$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 / $131.91 / $264.55	Professional		$109.93	$131.91	$264.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $339.69 / $2,211.28	Facility		$59.40	$339.69	$2,211.28
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 $176.85 / $460.89 / $920.00	Facility		$176.85	$460.89	$920.00
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 $199.68 / $329.80 / $729.21	Facility		$199.68	$329.80	$729.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.17 / $302.31 / $412.25	Professional		$271.17	$302.31	$412.25
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 $103.54 / $110.93 / $544.32	Professional		$103.54	$110.93	$544.32