Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.64 / $804.76 / $2,034.89	Facility		$255.64	$804.76	$2,034.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $255.64 / $298.76	Professional		$184.80	$255.64	$298.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.42 / $614.00 / $1,518.44	Facility		$268.42	$614.00	$1,518.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $137.97 / $462.00	Professional		$123.20	$137.97	$462.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $406.56 / $2,762.76	Facility		$59.40	$406.56	$2,762.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $200.20 / $500.60	Professional		$140.13	$200.20	$500.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.20 / $516.52 / $1,031.03	Facility		$203.20	$516.52	$1,031.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $258.17 / $966.23	Professional		$163.05	$258.17	$966.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $308.00 / $415.80	Professional		$246.40	$308.00	$415.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $354.20 / $677.60	Professional		$277.20	$354.20	$677.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $535.91 / $1,463.00 / $1,463.00	Facility		$535.91	$1,463.00	$1,463.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,533.84 / $1,533.84 / $2,310.00	Professional		$1,533.84	$1,533.84	$2,310.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.40 / $369.60 / $817.22	Facility		$246.40	$369.60	$817.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.97 / $354.20 / $844.25	Professional		$170.97	$354.20	$844.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $246.40 / $277.20 / $418.88	Professional		$246.40	$277.20	$418.88
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $138.60 / $680.06	Professional		$129.36	$138.60	$680.06