Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.02 / $944.21 / $2,595.50	Facility		$271.02	$944.21	$2,595.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $299.94 / $307.16	Professional		$196.95	$299.94	$307.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,810.46	Facility		$244.00	$614.00	$1,810.46
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 $164.42 / $234.89 / $587.34	Professional		$164.42	$234.89	$587.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.41 / $508.77 / $916.07	Facility		$238.41	$508.77	$916.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $361.37 / $397.51 / $487.85	Professional		$361.37	$397.51	$487.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.23 / $415.58 / $690.22	Professional		$325.23	$415.58	$690.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $628.78 / $1,716.51 / $1,716.51	Facility		$628.78	$1,716.51	$1,716.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.62 / $1,799.62 / $2,710.28	Professional		$1,799.62	$1,799.62	$2,710.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.64 / $433.64 / $804.96	Facility		$256.64	$433.64	$804.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.37 / $397.51 / $542.05	Professional		$361.37	$397.51	$542.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $289.10 / $368.60 / $614.33	Professional		$289.10	$368.60	$614.33
United Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $164.42 / $725.27	Professional		$151.78	$164.42	$725.27