Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $1,983.27 / $5,451.86	Facility		$569.29	$1,983.27	$5,451.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.68 / $630.01 / $645.19	Professional		$413.68	$630.01	$645.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,802.84	Facility		$244.00	$614.00	$3,802.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $600.00 / $1,267.60	Professional		$500.00	$600.00	$1,267.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,146.17 / $2,087.39	Facility		$97.00	$1,146.17	$2,087.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.37 / $493.38 / $1,233.70	Professional		$345.37	$493.38	$1,233.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.29 / $878.22 / $1,919.25	Facility		$508.29	$878.22	$1,919.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $834.96 / $1,024.72	Professional		$759.05	$834.96	$1,024.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.15 / $872.91 / $1,449.79	Professional		$683.15	$872.91	$1,449.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.75 / $3,605.49 / $3,605.49	Facility		$1,320.75	$3,605.49	$3,605.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,780.07 / $3,780.07 / $5,692.88	Professional		$3,780.07	$3,780.07	$5,692.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.24 / $910.86 / $1,693.82	Facility		$607.24	$910.86	$1,693.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $834.96 / $1,138.58	Professional		$759.05	$834.96	$1,138.58
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $341.57 / $1,953.04	Professional		$318.80	$341.57	$1,953.04