Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $3,019.95 / $5,248.07	Facility		$46.77	$3,019.95	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $199.53	Professional		$39.81	$46.77	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $177.83	Professional		$61.66	$97.72	$177.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $512.86 / $5,754.40	Facility		$66.07	$512.86	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $128.82	Professional		$46.77	$67.61	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $123.03	Professional		$46.77	$61.66	$123.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $354.81	Professional		$338.84	$338.84	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $112.20	Professional		$38.02	$52.48	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $102.33	Facility		$42.66	$60.26	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $123.03	Professional		$46.77	$61.66	$123.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $46.77	Professional		$33.88	$38.02	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $128.82	Professional		$37.15	$51.29	$128.82