Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,548.82 / $2,570.40	Facility		$524.81	$1,548.82	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $416.87	Professional		$245.47	$309.03	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $1,905.46	Facility		$954.99	$1,862.09	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $446.68	Professional		$131.83	$199.53	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $870.96 / $3,630.78	Facility		$69.18	$870.96	$3,630.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $741.31	Professional		$218.78	$288.40	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $630.96 / $1,258.93	Facility		$245.47	$630.96	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $501.19	Professional		$302.00	$371.54	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $660.69	Professional		$338.84	$416.87	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $2,818.38	Professional		$1,862.09	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $446.68 / $977.24	Facility		$288.40	$446.68	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $537.03	Professional		$371.54	$416.87	$537.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $4,466.84	Professional		$302.00	$371.54	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $371.54 / $371.54	Facility		$158.49	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $724.44	Professional		$158.49	$158.49	$724.44