Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.49 / $860.95 / $2,176.98	Facility		$273.49	$860.95	$2,176.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.18 / $273.49 / $524.94	Professional		$214.18	$273.49	$524.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.17 / $636.51 / $1,624.48	Facility		$287.17	$636.51	$1,624.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $147.61 / $494.26	Professional		$131.80	$147.61	$494.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $434.95 / $2,955.70	Facility		$59.40	$434.95	$2,955.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $214.18 / $535.55	Professional		$149.93	$214.18	$535.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.39 / $552.58 / $1,103.03	Facility		$217.39	$552.58	$1,103.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $276.01 / $1,032.98	Professional		$175.40	$276.01	$1,032.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.61 / $329.51 / $444.84	Professional		$263.61	$329.51	$444.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $378.94 / $724.92	Professional		$296.56	$378.94	$724.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $573.35 / $1,565.17 / $1,565.17	Facility		$573.35	$1,565.17	$1,565.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.96 / $1,640.96 / $2,471.33	Professional		$1,640.96	$1,640.96	$2,471.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.61 / $395.41 / $874.28	Facility		$263.61	$395.41	$874.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.78 / $378.94 / $903.06	Professional		$182.78	$378.94	$903.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.61 / $296.56 / $448.14	Professional		$263.61	$296.56	$448.14
United Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Facility		$329.51	$329.51	$329.51
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $148.84 / $847.83	Professional		$138.38	$148.84	$847.83