Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.13 / $1,670.82 / $4,368.14	Facility		$456.13	$1,670.82	$4,368.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.45 / $504.78 / $516.94	Professional		$331.45	$504.78	$516.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,046.93	Facility		$244.00	$614.00	$3,046.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.58 / $547.89 / $1,146.01	Professional		$456.58	$547.89	$1,146.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $918.34 / $1,672.47	Facility		$97.00	$918.34	$1,672.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $276.72 / $395.31 / $988.47	Professional		$276.72	$395.31	$988.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.26 / $703.65 / $1,537.76	Facility		$407.26	$703.65	$1,537.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $668.99 / $821.03	Professional		$608.16	$668.99	$821.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.35 / $699.40 / $1,161.59	Professional		$547.35	$699.40	$1,161.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.22 / $2,888.81 / $2,888.81	Facility		$1,058.22	$2,888.81	$2,888.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,028.69 / $3,028.69 / $4,561.28	Professional		$3,028.69	$3,028.69	$4,561.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $729.80 / $1,357.14	Facility		$486.54	$729.80	$1,357.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $668.99 / $912.26	Professional		$608.16	$668.99	$912.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $620.33 / $1,033.89	Professional		$486.54	$620.33	$1,033.89
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $273.68 / $1,464.41	Professional		$255.43	$273.68	$1,464.41