Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.70 / $2,211.16 / $6,078.34	Facility		$634.70	$2,211.16	$6,078.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.22 / $702.40 / $719.33	Professional		$461.22	$702.40	$719.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $4,239.81	Facility		$244.00	$614.00	$4,239.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $385.90 / $636.39	Professional		$338.51	$385.90	$636.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,117.08 / $7,591.04	Facility		$59.40	$1,117.08	$7,591.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $385.06 / $550.08 / $1,375.48	Professional		$385.06	$550.08	$1,375.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.70 / $1,135.92 / $2,769.65	Facility		$566.70	$1,135.92	$2,769.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.02 / $704.02 / $960.59	Professional		$660.02	$704.02	$960.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $930.90 / $1,142.46	Professional		$846.27	$930.90	$1,142.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $973.21 / $1,650.23	Professional		$761.64	$973.21	$1,650.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,472.51 / $4,019.78 / $4,019.78	Facility		$1,472.51	$4,019.78	$4,019.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,214.42 / $4,214.42 / $6,347.03	Professional		$4,214.42	$4,214.42	$6,347.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $1,015.52 / $2,217.17	Facility		$677.02	$1,015.52	$2,217.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $739.90 / $930.90 / $1,269.41	Professional		$739.90	$930.90	$1,269.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $677.02 / $863.20 / $1,438.66	Professional		$677.02	$863.20	$1,438.66
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $385.05 / $2,863.95	Professional		$355.43	$385.05	$2,863.95