Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.24 / $611.87 / $1,712.32	Facility		$197.24	$611.87	$1,712.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $218.28 / $255.10	Professional		$157.78	$218.28	$255.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.95 / $526.32 / $1,296.54	Facility		$244.95	$526.32	$1,296.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $117.82 / $394.48	Professional		$105.20	$117.82	$394.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $347.15 / $2,359.02	Facility		$59.30	$347.15	$2,359.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $119.66 / $170.94 / $427.44	Professional		$119.66	$170.94	$427.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.50 / $441.03 / $880.34	Facility		$173.50	$441.03	$880.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $220.45 / $825.07	Professional		$139.22	$220.45	$825.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $262.99 / $355.04	Professional		$159.90	$262.99	$355.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $302.44 / $578.58	Professional		$236.69	$302.44	$578.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.60 / $1,249.20 / $1,249.20	Facility		$457.60	$1,249.20	$1,249.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.69 / $1,309.69 / $1,972.43	Professional		$1,309.69	$1,309.69	$1,972.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $315.58 / $697.78	Facility		$210.39	$315.58	$697.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $302.44 / $720.93	Professional		$145.99	$302.44	$720.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $163.09 / $210.39 / $271.82	Professional		$163.09	$210.39	$271.82
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $110.46 / $676.67	Professional		$110.46	$110.46	$676.67