Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.38 / $680.66 / $1,871.08	Facility		$195.38	$680.66	$1,871.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $216.22 / $221.43	Professional		$141.97	$216.22	$221.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $1,305.10	Facility		$244.00	$614.00	$1,305.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $68.45 / $427.22	Professional		$57.05	$68.45	$427.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $343.86 / $2,336.69	Facility		$59.40	$343.86	$2,336.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $169.33 / $423.41	Professional		$118.53	$169.33	$423.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $335.27 / $658.69	Facility		$171.87	$335.27	$658.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $286.55 / $351.68	Professional		$260.50	$286.55	$351.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $307.39 / $567.89	Professional		$234.45	$307.39	$567.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $453.27 / $1,237.38 / $1,237.38	Facility		$453.27	$1,237.38	$1,237.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.29 / $1,297.29 / $1,953.75	Professional		$1,297.29	$1,297.29	$1,953.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.40 / $312.60 / $581.33	Facility		$208.40	$312.60	$581.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $286.55 / $390.75	Professional		$260.50	$286.55	$390.75
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $117.67 / $579.09	Professional		$109.41	$117.67	$579.09