Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.90 / $1,379.23 / $3,791.43	Facility		$395.90	$1,379.23	$3,791.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.69 / $438.13 / $448.69	Professional		$287.69	$438.13	$448.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,644.63	Facility		$244.00	$614.00	$2,644.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $240.71 / $396.96	Professional		$211.15	$240.71	$396.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $696.79 / $4,734.99	Facility		$59.40	$696.79	$4,734.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $240.18 / $343.12 / $857.97	Professional		$240.18	$343.12	$857.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.49 / $708.54 / $1,727.61	Facility		$353.49	$708.54	$1,727.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.76 / $439.21 / $599.26	Professional		$411.76	$439.21	$599.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $580.66 / $712.62	Professional		$527.87	$580.66	$712.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $475.08 / $607.04 / $1,029.34	Professional		$475.08	$607.04	$1,029.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $918.49 / $2,507.38 / $2,507.38	Facility		$918.49	$2,507.38	$2,507.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,628.79 / $2,628.79 / $3,959.03	Professional		$2,628.79	$2,628.79	$3,959.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.30 / $633.44 / $1,383.19	Facility		$422.30	$633.44	$1,383.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.59 / $580.66 / $791.81	Professional		$461.59	$580.66	$791.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $538.42 / $897.38	Professional		$422.30	$538.42	$897.38
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $221.71 / $1,048.77	Professional		$221.71	$221.71	$1,048.77