Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $526.08 / $1,379.04	Facility		$144.00	$526.08	$1,379.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $159.36 / $163.19	Professional		$104.64	$159.36	$163.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $967.68	Facility		$244.00	$614.00	$967.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $38.15 / $62.92	Professional		$33.47	$38.15	$62.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $253.44 / $1,722.24	Facility		$59.40	$253.44	$1,722.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $249.60 / $624.12	Professional		$174.72	$249.60	$624.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.03 / $494.71 / $970.94	Facility		$135.03	$494.71	$970.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.48 / $319.45 / $435.86	Professional		$299.48	$319.45	$435.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $422.40 / $518.40	Professional		$384.00	$422.40	$518.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $441.60 / $733.44	Professional		$345.60	$441.60	$733.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $668.16 / $1,824.00 / $1,824.00	Facility		$668.16	$1,824.00	$1,824.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.32 / $1,912.32 / $2,880.00	Professional		$1,912.32	$1,912.32	$2,880.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.36 / $460.80 / $856.90	Facility		$171.36	$460.80	$856.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $288.00 / $384.00	Professional		$211.20	$288.00	$384.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $87.36 / $460.80	Professional		$80.64	$87.36	$460.80