Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $686.45 / $1,886.97	Facility		$197.04	$686.45	$1,886.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $218.06 / $223.31	Professional		$143.18	$218.06	$223.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,316.23	Facility		$244.00	$614.00	$1,316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $246.98 / $518.66	Professional		$205.82	$246.98	$518.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $170.77 / $427.01	Professional		$119.54	$170.77	$427.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.33 / $369.89 / $666.00	Facility		$173.33	$369.89	$666.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $288.99 / $354.67	Professional		$262.72	$288.99	$354.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.45 / $302.13 / $501.80	Professional		$236.45	$302.13	$501.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.13 / $1,247.92 / $1,247.92	Facility		$457.13	$1,247.92	$1,247.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.34 / $1,308.34 / $1,970.40	Professional		$1,308.34	$1,308.34	$1,970.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.58 / $315.26 / $585.21	Facility		$186.58	$315.26	$585.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $288.99 / $394.08	Professional		$262.72	$288.99	$394.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $210.18 / $267.97 / $446.62	Professional		$210.18	$267.97	$446.62
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $114.80 / $675.98	Professional		$110.34	$114.80	$675.98