Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.74 / $1,431.49 / $4,179.07	Facility		$532.74	$1,431.49	$4,179.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.20 / $532.74 / $1,022.53	Professional		$417.20	$532.74	$1,022.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $1,152.89 / $3,164.32	Facility		$312.00	$1,152.89	$3,164.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $287.54 / $962.77	Professional		$256.74	$287.54	$962.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $847.24 / $5,757.39	Facility		$59.40	$847.24	$5,757.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $292.04 / $417.20 / $1,043.21	Professional		$292.04	$417.20	$1,043.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.46 / $1,076.38 / $2,148.58	Facility		$423.46	$1,076.38	$2,148.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.58 / $537.69 / $2,012.35	Professional		$339.58	$537.69	$2,012.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $513.48 / $641.85 / $866.50	Professional		$513.48	$641.85	$866.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.66 / $738.13 / $1,412.07	Professional		$577.66	$738.13	$1,412.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,116.82 / $3,048.79 / $3,048.79	Facility		$1,116.82	$3,048.79	$3,048.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,196.41 / $3,196.41 / $4,813.88	Professional		$3,196.41	$3,196.41	$4,813.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.48 / $770.22 / $1,703.01	Facility		$513.48	$770.22	$1,703.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.07 / $738.13 / $1,759.64	Professional		$356.07	$738.13	$1,759.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $513.48 / $577.66 / $872.92	Professional		$513.48	$577.66	$872.92
United Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $280.47 / $1,651.48	Professional		$269.58	$280.47	$1,651.48