Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.36 / $2,056.67 / $5,653.73	Facility		$590.36	$2,056.67	$5,653.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.00 / $653.33 / $669.08	Professional		$429.00	$653.33	$669.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,943.62	Facility		$244.00	$614.00	$3,943.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $648.00 / $1,355.40	Professional		$540.00	$648.00	$1,355.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $569.11 / $2,219.76	Facility		$92.60	$569.11	$2,219.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $358.16 / $511.65 / $1,279.38	Professional		$358.16	$511.65	$1,279.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.32 / $1,108.23 / $2,576.16	Facility		$519.32	$1,108.23	$2,576.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $865.87 / $1,062.65	Professional		$787.15	$865.87	$1,062.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.44 / $905.22 / $1,503.46	Professional		$708.44	$905.22	$1,503.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,369.64 / $3,738.96 / $3,738.96	Facility		$1,369.64	$3,738.96	$3,738.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,920.01 / $3,920.01 / $5,903.63	Professional		$3,920.01	$3,920.01	$5,903.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.72 / $944.58 / $2,088.56	Facility		$629.72	$944.58	$2,088.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $865.87 / $1,180.73	Professional		$787.15	$865.87	$1,180.73
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $330.60 / $1,745.43	Professional		$330.60	$330.60	$1,745.43