Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $833.56 / $3,088.34	Facility		$416.78	$833.56	$3,088.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,087.27	Facility		$244.00	$614.00	$2,087.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.16 / $598.59 / $1,124.80	Professional		$257.16	$598.59	$1,124.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $3,763.52	Facility		$58.70	$100.00	$3,763.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $188.98 / $472.54	Professional		$132.29	$188.98	$472.54
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 $238.88 / $416.78 / $562.65	Professional		$238.88	$416.78	$562.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $479.30 / $812.72	Professional		$375.10	$479.30	$812.72
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 $288.72 / $547.24 / $1,056.55	Facility		$288.72	$547.24	$1,056.55
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 $243.66 / $333.42 / $416.78	Professional		$243.66	$333.42	$416.78
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $189.66 / $1,211.93	Professional		$175.05	$189.66	$1,211.93