Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.58 / $1,088.99 / $2,993.50	Facility		$312.58	$1,088.99	$2,993.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.15 / $345.93 / $354.26	Professional		$227.15	$345.93	$354.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,088.07	Facility		$244.00	$614.00	$2,088.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $20.79 / $683.51	Professional		$17.32	$20.79	$683.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $550.15 / $3,738.52	Facility		$59.30	$550.15	$3,738.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $189.64 / $270.91 / $677.41	Professional		$189.64	$270.91	$677.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.97 / $536.40 / $1,053.83	Facility		$274.97	$536.40	$1,053.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $458.46 / $562.65	Professional		$416.78	$458.46	$562.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $479.30 / $908.58	Professional		$375.10	$479.30	$908.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $725.20 / $1,979.71 / $1,979.71	Facility		$725.20	$1,979.71	$1,979.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.56 / $2,075.56 / $3,125.85	Professional		$2,075.56	$2,075.56	$3,125.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.42 / $500.14 / $930.06	Facility		$333.42	$500.14	$930.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $458.46 / $625.16	Professional		$416.78	$458.46	$625.16
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $187.55 / $1,003.56	Professional		$175.05	$187.55	$1,003.56