Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,675.17 / $5,171.39	Facility		$540.00	$1,675.17	$5,171.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $597.60 / $612.00	Professional		$392.40	$597.60	$612.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,607.20	Facility		$244.00	$614.00	$3,607.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $274.68 / $1,180.80	Professional		$228.90	$274.68	$1,180.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $950.40 / $6,458.40	Facility		$59.40	$950.40	$6,458.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $468.00 / $1,170.23	Professional		$327.60	$468.00	$1,170.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.02 / $1,013.69 / $2,356.38	Facility		$475.02	$1,013.69	$2,356.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $792.00 / $972.00	Professional		$720.00	$792.00	$972.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $828.00 / $1,404.00	Professional		$648.00	$828.00	$1,404.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,252.80 / $3,420.00 / $3,420.00	Facility		$1,252.80	$3,420.00	$3,420.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,585.60 / $3,585.60 / $5,400.00	Professional		$3,585.60	$3,585.60	$5,400.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $864.00 / $1,910.38	Facility		$585.00	$864.00	$1,910.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $792.00 / $1,080.00	Professional		$720.00	$792.00	$1,080.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $734.40 / $1,224.00	Professional		$576.00	$734.40	$1,224.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $1,445.04	Professional		$302.39	$302.39	$1,445.04