Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.48 / $1,158.31 / $3,184.04	Facility		$332.48	$1,158.31	$3,184.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $367.95 / $376.81	Professional		$241.60	$367.95	$376.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,220.98	Facility		$244.00	$614.00	$2,220.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $13.59 / $642.79	Professional		$11.33	$13.59	$642.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $288.14 / $720.52	Professional		$201.71	$288.14	$720.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.47 / $624.13 / $1,123.79	Facility		$292.47	$624.13	$1,123.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $487.64 / $598.47	Professional		$443.31	$487.64	$598.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.98 / $509.81 / $846.72	Professional		$398.98	$509.81	$846.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $771.36 / $2,105.71 / $2,105.71	Facility		$771.36	$2,105.71	$2,105.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,207.67 / $2,207.67 / $3,324.83	Professional		$2,207.67	$2,207.67	$3,324.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.83 / $531.97 / $987.47	Facility		$314.83	$531.97	$987.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $487.64 / $664.97	Professional		$443.31	$487.64	$664.97
United Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $186.19 / $1,067.45	Professional		$186.19	$186.19	$1,067.45