Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $910.66 / $2,783.10	Facility		$416.78	$910.66	$2,783.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $539.22 / $1,081.59	Professional		$416.78	$539.22	$1,081.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,088.07	Facility		$244.00	$614.00	$2,088.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $200.05 / $401.21	Professional		$166.71	$200.05	$401.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $550.15 / $3,738.52	Facility		$59.40	$550.15	$3,738.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $45.44 / $120.32	Professional		$31.81	$45.44	$120.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.97 / $586.79 / $1,056.55	Facility		$274.97	$586.79	$1,056.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $416.78 / $562.65	Professional		$333.42	$416.78	$562.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $479.30 / $796.05	Professional		$375.10	$479.30	$796.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $725.20 / $1,979.71 / $1,979.71	Facility		$725.20	$1,979.71	$1,979.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.56 / $2,075.56 / $3,125.85	Professional		$2,075.56	$2,075.56	$3,125.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.40 / $500.14 / $994.90	Facility		$387.40	$500.14	$994.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $458.46 / $625.16	Professional		$416.78	$458.46	$625.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $375.10 / $566.80	Professional		$333.42	$375.10	$566.80
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $187.32 / $1,076.45	Professional		$175.05	$187.32	$1,076.45