Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $1,730.55 / $4,757.10	Facility		$496.74	$1,730.55	$4,757.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.97 / $549.73 / $562.97	Professional		$360.97	$549.73	$562.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,318.22	Facility		$244.00	$614.00	$3,318.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,240.00 / $3,760.00	Professional		$2,000.00	$2,240.00	$3,760.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,019.97 / $1,821.38	Facility		$98.20	$1,019.97	$1,821.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $301.36 / $430.51 / $1,076.49	Professional		$301.36	$430.51	$1,076.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.97 / $932.48 / $1,678.99	Facility		$436.97	$932.48	$1,678.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $728.55 / $894.13	Professional		$662.32	$728.55	$894.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.09 / $761.67 / $1,265.03	Professional		$596.09	$761.67	$1,265.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.44 / $3,146.02 / $3,146.02	Facility		$1,152.44	$3,146.02	$3,146.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,298.35 / $3,298.35 / $4,967.39	Professional		$3,298.35	$3,298.35	$4,967.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.38 / $794.78 / $1,475.32	Facility		$470.38	$794.78	$1,475.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $728.55 / $993.48	Professional		$662.32	$728.55	$993.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $529.86 / $675.57 / $1,125.94	Professional		$529.86	$675.57	$1,125.94
United Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $280.82 / $1,315.90	Professional		$278.17	$280.82	$1,315.90