Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $6,165.95	Facility		$812.83	$1,659.59	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $812.83	Professional		$616.60	$616.60	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $812.83	Professional		$501.19	$501.19	$812.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,089.30 / $2,818.38	Facility		$100.00	$2,089.30	$2,818.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $75.86	Professional		$39.81	$39.81	$75.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $776.25	Professional		$645.65	$645.65	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $630.96 / $831.76	Professional		$128.82	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $794.33	Facility		$741.31	$741.31	$794.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $616.60 / $1,288.25	Facility		$549.54	$616.60	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,096.48	Professional		$645.65	$776.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,737.80	Facility		$1,096.48	$1,148.15	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $1,071.52	Professional		$44.67	$44.67	$1,071.52