Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.13 / $1,658.74 / $4,559.70	Facility		$476.13	$1,658.74	$4,559.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.99 / $526.91 / $539.61	Professional		$345.99	$526.91	$539.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,180.55	Facility		$244.00	$614.00	$3,180.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $308.55 / $1,041.13	Professional		$257.13	$308.55	$1,041.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $837.99 / $5,694.52	Facility		$59.40	$837.99	$5,694.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $288.86 / $412.65 / $1,031.83	Professional		$288.86	$412.65	$1,031.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.12 / $734.52 / $1,605.21	Facility		$425.12	$734.52	$1,605.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $634.84 / $698.32 / $857.03	Professional		$634.84	$698.32	$857.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.36 / $730.07 / $1,237.94	Professional		$571.36	$730.07	$1,237.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.61 / $3,015.49 / $3,015.49	Facility		$1,104.61	$3,015.49	$3,015.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,161.50 / $3,161.50 / $4,761.30	Professional		$3,161.50	$3,161.50	$4,761.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.87 / $761.81 / $1,416.67	Facility		$507.87	$761.81	$1,416.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $634.84 / $698.32 / $952.26	Professional		$634.84	$698.32	$952.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $507.87 / $647.54 / $1,079.23	Professional		$507.87	$647.54	$1,079.23
United Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $266.63 / $1,256.98	Professional		$266.63	$266.63	$1,256.98