Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.68 / $1,528.26 / $4,201.09	Facility		$438.68	$1,528.26	$4,201.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.77 / $485.47 / $497.17	Professional		$318.77	$485.47	$497.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,473.95 / $2,912.80 / $2,971.29	Facility		$1,473.95	$2,912.80	$2,971.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $329.27 / $543.01	Professional		$288.83	$329.27	$543.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $772.07 / $5,246.55	Facility		$59.40	$772.07	$5,246.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $380.19 / $950.67	Professional		$266.13	$380.19	$950.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.68 / $785.09 / $1,914.26	Facility		$391.68	$785.09	$1,914.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.16 / $486.58 / $663.90	Professional		$456.16	$486.58	$663.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $643.39 / $789.62	Professional		$584.90	$643.39	$789.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $672.64 / $1,140.56	Professional		$526.41	$672.64	$1,140.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,017.73 / $2,778.28 / $2,778.28	Facility		$1,017.73	$2,778.28	$2,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,912.80 / $2,912.80 / $4,386.75	Professional		$2,912.80	$2,912.80	$4,386.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $701.88 / $1,532.36	Facility		$467.92	$701.88	$1,532.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $511.37 / $643.39 / $877.35	Professional		$511.37	$643.39	$877.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $596.60 / $994.33	Professional		$467.92	$596.60	$994.33
United Facility/Professional Facility Modifier Low / Median / High Price $701.88 / $701.88 / $701.88	Facility		$701.88	$701.88	$701.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $1,162.08	Professional		$245.66	$245.66	$1,162.08