Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.03 / $1,574.76 / $4,328.93	Facility		$452.03	$1,574.76	$4,328.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.47 / $500.24 / $512.29	Professional		$328.47	$500.24	$512.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,019.53	Facility		$244.00	$614.00	$3,019.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $137.41 / $226.61	Professional		$120.54	$137.41	$226.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $795.56 / $5,406.22	Facility		$59.30	$795.56	$5,406.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $274.23 / $391.76 / $979.60	Professional		$274.23	$391.76	$979.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.60 / $808.98 / $1,972.51	Facility		$403.60	$808.98	$1,972.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $662.97 / $813.65	Professional		$602.70	$662.97	$813.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.42 / $693.11 / $1,175.27	Professional		$542.42	$693.11	$1,175.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,048.70 / $2,862.83 / $2,862.83	Facility		$1,048.70	$2,862.83	$2,862.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,001.45 / $3,001.45 / $4,520.25	Professional		$3,001.45	$3,001.45	$4,520.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.16 / $723.24 / $1,578.97	Facility		$482.16	$723.24	$1,578.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $662.97 / $904.05	Professional		$602.70	$662.97	$904.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $482.16 / $614.75 / $1,024.58	Professional		$482.16	$614.75	$1,024.58
United Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $253.13 / $1,157.79	Professional		$253.13	$253.13	$1,157.79