Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.75 / $1,894.31 / $5,207.31	Facility		$543.75	$1,894.31	$5,207.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.13 / $601.75 / $616.25	Professional		$395.13	$601.75	$616.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,632.25	Facility		$244.00	$614.00	$3,632.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $306.08 / $1,189.00	Professional		$255.08	$306.08	$1,189.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $524.17 / $2,044.50	Facility		$92.60	$524.17	$2,044.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $329.88 / $471.25 / $1,178.35	Professional		$329.88	$471.25	$1,178.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.49 / $973.13 / $2,372.73	Facility		$485.49	$973.13	$2,372.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $797.50 / $978.75	Professional		$725.00	$797.50	$978.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.50 / $833.75 / $1,384.75	Professional		$652.50	$833.75	$1,384.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,261.50 / $3,443.75 / $3,443.75	Facility		$1,261.50	$3,443.75	$3,443.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,610.50 / $3,610.50 / $5,437.50	Professional		$3,610.50	$3,610.50	$5,437.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $870.00 / $1,899.34	Facility		$580.00	$870.00	$1,899.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $797.50 / $1,087.50	Professional		$725.00	$797.50	$1,087.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $580.00 / $739.50 / $1,232.50	Professional		$580.00	$739.50	$1,232.50
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $326.25 / $1,865.43	Professional		$304.50	$326.25	$1,865.43