Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $879.84 / $3,693.41	Facility		$416.78	$879.84	$3,693.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $490.19 / $625.16	Professional		$416.78	$490.19	$625.16
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 $257.13 / $308.55 / $683.51	Professional		$257.13	$308.55	$683.51
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 $37.56 / $53.66 / $134.18	Professional		$37.56	$53.66	$134.18
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 $416.78 / $458.46 / $562.65	Professional		$416.78	$458.46	$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 $387.40 / $500.14 / $994.90	Facility		$387.40	$500.14	$994.90
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 $333.42 / $425.12 / $708.53	Professional		$333.42	$425.12	$708.53
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $189.66 / $1,211.93	Professional		$175.05	$189.66	$1,211.93