Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,122.02 / $1,905.46	Facility		$380.19	$1,122.02	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $302.00	Professional		$177.83	$223.87	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $1,380.38	Facility		$691.83	$1,380.38	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $223.87	Professional		$109.65	$131.83	$223.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $645.65 / $2,630.27	Facility		$69.18	$645.65	$2,630.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $457.09	Professional		$162.18	$208.93	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $912.01	Facility		$181.97	$363.08	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $416.87	Professional		$275.42	$302.00	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $478.63	Professional		$245.47	$302.00	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Professional		$1,380.38	$2,041.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $724.44	Facility		$208.93	$331.13	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $302.00	Professional		$275.42	$302.00	$302.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $4,168.69	Professional		$218.78	$309.03	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $275.42	Facility		$114.82	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $524.81	Professional		$114.82	$114.82	$524.81