Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,454.71 / $4,168.69	Facility		$831.76	$2,454.71	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $676.08	Professional		$371.54	$489.78	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,019.95 / $3,090.30	Facility		$1,513.56	$3,019.95	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $245.47	Professional		$120.23	$144.54	$245.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,412.54 / $5,754.40	Facility		$69.18	$1,412.54	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,000.00	Professional		$354.81	$457.09	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $794.33 / $1,995.26	Facility		$407.38	$794.33	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $912.01	Professional		$602.56	$660.69	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,047.13	Professional		$537.03	$660.69	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $4,570.88	Professional		$3,019.95	$4,570.88	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $724.44 / $1,584.89	Facility		$457.09	$724.44	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $660.69	Professional		$602.56	$660.69	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $9,120.11	Professional		$478.63	$676.08	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $602.56 / $602.56	Facility		$251.19	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $1,148.15	Professional		$251.19	$251.19	$1,148.15