Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,985.76 / $5,458.70	Facility		$570.00	$1,985.76	$5,458.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $630.79 / $646.00	Professional		$494.00	$630.79	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,807.60	Facility		$244.00	$614.00	$3,807.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $364.80 / $1,246.40	Professional		$304.00	$364.80	$1,246.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,003.20 / $6,817.20	Facility		$59.40	$1,003.20	$6,817.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $494.00 / $1,235.25	Professional		$345.80	$494.00	$1,235.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.41 / $978.12 / $1,921.66	Facility		$501.41	$978.12	$1,921.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,026.00	Professional		$760.00	$836.00	$1,026.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $874.00 / $1,482.00	Professional		$684.00	$874.00	$1,482.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.40 / $3,610.00 / $3,610.00	Facility		$1,322.40	$3,610.00	$3,610.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,784.80 / $3,784.80 / $5,700.00	Professional		$3,784.80	$3,784.80	$5,700.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.48 / $978.12 / $1,926.60	Facility		$526.48	$978.12	$1,926.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,140.00	Professional		$760.00	$836.00	$1,140.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $775.20 / $1,292.00	Professional		$608.00	$775.20	$1,292.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $332.10 / $1,955.48	Professional		$319.20	$332.10	$1,955.48