Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.17 / $1,354.18 / $3,424.15	Facility		$430.17	$1,354.18	$3,424.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $440.54 / $518.28	Professional		$336.88	$440.54	$518.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $930.93 / $2,555.12	Facility		$312.00	$930.93	$2,555.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $232.18 / $777.42	Professional		$207.31	$232.18	$777.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $684.13 / $4,648.97	Facility		$59.40	$684.13	$4,648.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $235.82 / $336.88 / $842.37	Professional		$235.82	$336.88	$842.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.93 / $869.15 / $1,734.93	Facility		$341.93	$869.15	$1,734.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.20 / $434.18 / $2,176.16	Professional		$274.20	$434.18	$2,176.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $414.62 / $518.28 / $699.68	Professional		$414.62	$518.28	$699.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.45 / $596.02 / $1,140.22	Professional		$466.45	$596.02	$1,140.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $901.81 / $2,461.83 / $2,461.83	Facility		$901.81	$2,461.83	$2,461.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,581.03 / $2,581.03 / $3,887.10	Professional		$2,581.03	$2,581.03	$3,887.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.62 / $621.94 / $1,375.14	Facility		$414.62	$621.94	$1,375.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $597.27 / $1,447.15	Professional		$287.52	$597.27	$1,447.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $414.62 / $466.45 / $704.85	Professional		$414.62	$466.45	$704.85
United Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $217.68 / $1,123.16	Professional		$217.68	$217.68	$1,123.16