Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $739.12 / $2,031.80	Facility		$212.16	$739.12	$2,031.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $234.79 / $240.45	Professional		$154.16	$234.79	$240.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,417.23	Facility		$244.00	$614.00	$1,417.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $274.68 / $574.53	Professional		$228.90	$274.68	$574.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $204.52 / $797.72	Facility		$92.60	$204.52	$797.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $183.87 / $459.77	Professional		$128.71	$183.87	$459.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.43 / $379.69 / $925.79	Facility		$189.43	$379.69	$925.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $311.17 / $381.89	Professional		$282.88	$311.17	$381.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $325.31 / $540.29	Professional		$254.59	$325.31	$540.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.21 / $1,343.68 / $1,343.68	Facility		$492.21	$1,343.68	$1,343.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,408.74 / $1,408.74 / $2,121.60	Professional		$1,408.74	$1,408.74	$2,121.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.30 / $339.46 / $741.60	Facility		$226.30	$339.46	$741.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $311.17 / $424.32	Professional		$282.88	$311.17	$424.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $226.30 / $288.54 / $480.90	Professional		$226.30	$288.54	$480.90
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $562.03	Professional		$118.81	$118.81	$562.03