Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $794.33 / $1,318.26	Facility		$269.15	$794.33	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $363.08	Professional		$123.03	$162.18	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $977.24 / $977.24	Facility		$933.25	$977.24	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $67.61	Professional		$33.11	$39.81	$67.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $446.68 / $1,862.09	Facility		$69.18	$446.68	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $630.96	Professional		$223.87	$288.40	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $446.68 / $1,122.02	Facility		$147.91	$446.68	$1,122.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $512.86	Professional		$380.19	$426.58	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $676.08	Professional		$346.74	$426.58	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $2,884.03	Professional		$1,905.46	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $446.68 / $851.14	Facility		$162.18	$446.68	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $380.19	Professional		$208.93	$208.93	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $380.19 / $380.19	Facility		$162.18	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $457.09	Professional		$81.28	$87.10	$457.09