Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,235.94 / $5,370.32	Facility		$1,096.48	$3,235.94	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $851.14	Professional		$467.74	$630.96	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,981.07 / $3,981.07	Facility		$1,995.26	$3,981.07	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,621.81	Professional		$537.03	$741.31	$1,621.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,778.28 / $2,238.72	Facility		$575.44	$1,778.28	$2,238.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,318.26	Professional		$457.09	$588.84	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,096.48 / $2,630.27	Facility		$537.03	$1,096.48	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,071.52	Professional		$794.33	$870.96	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,380.38	Professional		$707.95	$870.96	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,888.44 / $5,888.44	Professional		$3,890.45	$5,888.44	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $2,041.74	Facility		$602.56	$954.99	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $870.96	Professional		$794.33	$870.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $794.33 / $794.33	Facility		$331.13	$794.33	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $1,513.56	Professional		$331.13	$331.13	$1,513.56