Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,187.76 / $3,630.78	Facility		$741.31	$2,187.76	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $588.84	Professional		$346.74	$436.52	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $2,691.53	Facility		$1,318.26	$2,630.27	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $426.58	Professional		$208.93	$257.04	$426.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,230.27 / $5,128.61	Facility		$69.18	$1,230.27	$5,128.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $870.96	Professional		$309.03	$398.11	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $1,778.28	Facility		$354.81	$691.83	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $794.33	Professional		$524.81	$575.44	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $933.25	Professional		$478.63	$575.44	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $3,981.07	Professional		$2,630.27	$3,981.07	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $1,380.38	Facility		$398.11	$630.96	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $575.44	Professional		$524.81	$575.44	$575.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $7,943.28	Professional		$426.58	$588.84	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $524.81 / $524.81	Facility		$223.87	$524.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $1,023.29	Professional		$223.87	$223.87	$1,023.29