Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,235.94 / $5,370.32	Facility		$933.25	$3,235.94	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $891.25	Professional		$512.86	$645.65	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,981.07 / $4,073.80	Facility		$1,995.26	$3,981.07	$4,073.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,621.81	Professional		$501.19	$707.95	$1,621.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,862.09 / $7,585.78	Facility		$69.18	$1,862.09	$7,585.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,318.26	Professional		$467.74	$602.56	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $2,570.40	Facility		$537.03	$1,023.29	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,071.52	Professional		$794.33	$870.96	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,380.38	Professional		$707.95	$870.96	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,025.60 / $6,025.60	Professional		$3,981.07	$6,025.60	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $1,819.70	Facility		$575.44	$954.99	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $870.96	Professional		$794.33	$870.96	$870.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $794.33	Professional		$630.96	$707.95	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $1,513.56	Professional		$331.13	$331.13	$1,513.56