Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $787.38 / $2,164.46	Facility		$226.01	$787.38	$2,164.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.24 / $250.12 / $256.14	Professional		$164.24	$250.12	$256.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,509.76	Facility		$244.00	$614.00	$1,509.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $137.41 / $226.61	Professional		$120.54	$137.41	$226.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $397.78 / $2,703.11	Facility		$59.30	$397.78	$2,703.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $195.88 / $489.80	Professional		$137.12	$195.88	$489.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.80 / $404.49 / $986.26	Facility		$201.80	$404.49	$986.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.14 / $250.82 / $342.23	Professional		$235.14	$250.82	$342.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $331.49 / $406.82	Professional		$301.35	$331.49	$406.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $346.55 / $587.63	Professional		$271.22	$346.55	$587.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $524.35 / $1,431.41 / $1,431.41	Facility		$524.35	$1,431.41	$1,431.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.72 / $1,500.72 / $2,260.13	Professional		$1,500.72	$1,500.72	$2,260.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $361.62 / $789.91	Facility		$241.08	$361.62	$789.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.61 / $331.49 / $452.03	Professional		$263.61	$331.49	$452.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $307.38 / $512.29	Professional		$241.08	$307.38	$512.29
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $131.68 / $665.38	Professional		$126.57	$131.68	$665.38