Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.87 / $2,075.89 / $5,706.45	Facility		$595.87	$2,075.89	$5,706.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.00 / $659.43 / $675.32	Professional		$433.00	$659.43	$675.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,980.39	Facility		$244.00	$614.00	$3,980.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $286.99 / $602.67	Professional		$239.16	$286.99	$602.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,223.51 / $2,184.85	Facility		$98.20	$1,223.51	$2,184.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $361.49 / $516.41 / $1,291.31	Professional		$361.49	$516.41	$1,291.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.16 / $1,118.57 / $2,014.04	Facility		$524.16	$1,118.57	$2,014.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $873.94 / $1,072.56	Professional		$794.49	$873.94	$1,072.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.04 / $913.66 / $1,517.48	Professional		$715.04	$913.66	$1,517.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,382.41 / $3,773.83 / $3,773.83	Facility		$1,382.41	$3,773.83	$3,773.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,956.56 / $3,956.56 / $5,958.68	Professional		$3,956.56	$3,956.56	$5,958.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $564.25 / $953.39 / $1,769.73	Facility		$564.25	$953.39	$1,769.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $873.94 / $1,191.74	Professional		$794.49	$873.94	$1,191.74
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $336.86 / $1,578.49	Professional		$333.69	$336.86	$1,578.49