Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,511.89 / $4,168.69	Facility		$851.14	$2,511.89	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $645.65	Professional		$380.19	$489.78	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $3,090.30	Facility		$1,548.82	$3,019.95	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $1,230.27	Professional		$112.20	$165.96	$1,230.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,318.26 / $1,698.24	Facility		$100.00	$1,318.26	$1,698.24
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 / $1,949.84	Facility		$407.38	$794.33	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $912.01	Professional		$602.56	$676.08	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,071.52	Professional		$549.54	$676.08	$1,071.52
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 $446.68 / $724.44 / $1,380.38	Facility		$446.68	$724.44	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $676.08	Professional		$602.56	$676.08	$676.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $9,120.11	Professional		$489.78	$676.08	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $602.56 / $602.56	Facility		$257.04	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $1,174.90	Professional		$257.04	$257.04	$1,174.90