Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,230.27 / $2,089.30	Facility		$416.87	$1,230.27	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $331.13	Professional		$194.98	$245.47	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $1,513.56	Facility		$758.58	$1,513.56	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $446.68	Professional		$165.96	$263.03	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $707.95 / $2,884.03	Facility		$69.18	$707.95	$2,884.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $602.56	Professional		$177.83	$234.42	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $501.19 / $1,071.52	Facility		$199.53	$501.19	$1,071.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $407.38	Professional		$239.88	$302.00	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $524.81	Professional		$269.15	$331.13	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $2,238.72	Professional		$1,513.56	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $794.33	Facility		$229.09	$363.08	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $436.52	Professional		$302.00	$331.13	$436.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $3,630.78	Professional		$239.88	$302.00	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $302.00 / $302.00	Facility		$125.89	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $575.44	Professional		$125.89	$125.89	$575.44