Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,071.52 / $1,778.28	Facility		$363.08	$1,071.52	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $275.42	Professional		$162.18	$213.80	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,318.26 / $1,318.26	Facility		$660.69	$1,318.26	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $537.03	Professional		$57.54	$83.18	$537.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $602.56 / $2,511.89	Facility		$69.18	$602.56	$2,511.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $436.52	Professional		$151.36	$194.98	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $338.84 / $831.76	Facility		$177.83	$338.84	$831.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $354.81	Professional		$263.03	$288.40	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $457.09	Professional		$234.42	$288.40	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $1,949.84	Professional		$1,288.25	$1,949.84	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $309.03 / $588.84	Facility		$194.98	$309.03	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $288.40	Professional		$263.03	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $501.19	Professional		$109.65	$109.65	$501.19