Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $718.09 / $1,974.00	Facility		$206.12	$718.09	$1,974.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $228.11 / $233.61	Professional		$149.78	$228.11	$233.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,376.90	Facility		$244.00	$614.00	$1,376.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $125.32 / $206.66	Professional		$109.93	$125.32	$206.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $362.78 / $2,465.21	Facility		$59.40	$362.78	$2,465.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $178.64 / $446.69	Professional		$125.05	$178.64	$446.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.04 / $368.89 / $899.45	Facility		$184.04	$368.89	$899.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.46 / $228.75 / $312.12	Professional		$214.46	$228.75	$312.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $302.31 / $371.02	Professional		$274.83	$302.31	$371.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $316.05 / $535.91	Professional		$247.35	$316.05	$535.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,305.44 / $1,305.44	Facility		$478.20	$1,305.44	$1,305.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.65 / $1,368.65 / $2,061.23	Professional		$1,368.65	$1,368.65	$2,061.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $329.80 / $720.41	Facility		$219.86	$329.80	$720.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.42 / $302.31 / $412.25	Professional		$240.42	$302.31	$412.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $280.33 / $467.21	Professional		$219.86	$280.33	$467.21
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $707.14	Professional		$115.43	$115.43	$707.14