Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,398.83 / $3,981.07	Facility		$812.83	$2,398.83	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $645.65	Professional		$380.19	$478.63	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $2,951.21	Facility		$1,479.11	$2,951.21	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $616.60	Professional		$288.40	$346.74	$616.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,348.96 / $5,623.41	Facility		$69.18	$1,348.96	$5,623.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $977.24	Professional		$338.84	$436.52	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $776.25 / $1,949.84	Facility		$389.05	$776.25	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $870.96	Professional		$588.84	$645.65	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,023.29	Professional		$524.81	$645.65	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $4,365.16	Professional		$2,884.03	$4,365.16	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $707.95 / $1,513.56	Facility		$446.68	$707.95	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $645.65	Professional		$588.84	$645.65	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $8,709.64	Professional		$467.74	$660.69	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $588.84 / $588.84	Facility		$245.47	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $1,122.02	Professional		$245.47	$245.47	$1,122.02