Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $758.58 / $1,258.93	Facility		$257.04	$758.58	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $204.17	Professional		$120.23	$151.36	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $933.25 / $933.25	Facility		$467.74	$933.25	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $380.19	Professional		$102.33	$234.42	$380.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $436.52 / $1,778.28	Facility		$69.18	$436.52	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $363.08	Professional		$107.15	$141.25	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $309.03 / $660.69	Facility		$123.03	$309.03	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $251.19	Professional		$147.91	$186.21	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $323.59	Professional		$165.96	$204.17	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $1,380.38	Professional		$912.01	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $223.87 / $478.63	Facility		$141.25	$223.87	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $269.15	Professional		$186.21	$204.17	$269.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $2,238.72	Professional		$147.91	$186.21	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $186.21 / $186.21	Facility		$77.62	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $354.81	Professional		$77.62	$77.62	$354.81