Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $2,344.23	Facility		$794.33	$1,445.44	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,258.93	Professional		$691.83	$691.83	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $851.14 / $1,819.70	Facility		$741.31	$851.14	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $707.95 / $1,122.02	Professional		$691.83	$707.95	$1,122.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $380.19 / $1,348.96	Facility		$83.18	$380.19	$1,348.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,513.56	Professional		$691.83	$794.33	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $691.83	Facility		$645.65	$645.65	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $741.31	Professional		$691.83	$691.83	$741.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $933.25	Professional		$691.83	$691.83	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,202.26	Professional		$616.60	$724.44	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $758.58 / $1,230.27	Facility		$691.83	$758.58	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $794.33	Professional		$691.83	$691.83	$794.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,174.90	Professional		$549.54	$758.58	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Professional		$691.83	$691.83	$831.76