Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,698.24 / $2,884.03	Facility		$575.44	$1,698.24	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $457.09	Professional		$269.15	$338.84	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $2,137.96	Facility		$1,000.00	$2,089.30	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $851.14	Professional		$17.38	$25.12	$851.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $977.24 / $3,981.07	Facility		$69.18	$977.24	$3,981.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $691.83	Professional		$245.47	$316.23	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $549.54 / $1,348.96	Facility		$281.84	$549.54	$1,348.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $562.34	Professional		$416.87	$457.09	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $724.44	Professional		$371.54	$457.09	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $3,090.30	Professional		$2,089.30	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $954.99	Facility		$316.23	$501.19	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $457.09	Professional		$416.87	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $794.33	Professional		$173.78	$173.78	$794.33