Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.44 / $980.48 / $2,695.21	Facility		$281.44	$980.48	$2,695.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.51 / $311.45 / $318.95	Professional		$204.51	$311.45	$318.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,880.00	Facility		$244.00	$614.00	$1,880.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $158.16 / $353.67	Professional		$131.80	$158.16	$353.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $495.33 / $3,365.99	Facility		$59.40	$495.33	$3,365.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $243.91 / $609.90	Professional		$170.74	$243.91	$609.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.57 / $629.29 / $1,256.14	Facility		$247.57	$629.29	$1,256.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $375.25 / $506.59	Professional		$300.20	$375.25	$506.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $431.54 / $716.73	Professional		$337.73	$431.54	$716.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.94 / $1,782.44 / $1,782.44	Facility		$652.94	$1,782.44	$1,782.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,868.75 / $1,868.75 / $2,814.38	Professional		$1,868.75	$1,868.75	$2,814.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.20 / $450.30 / $995.64	Facility		$300.20	$450.30	$995.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $412.78 / $562.88	Professional		$375.25	$412.78	$562.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $300.20 / $337.73 / $510.34	Professional		$300.20	$337.73	$510.34
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $163.97 / $965.52	Professional		$157.61	$163.97	$965.52