Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,445.44 / $2,454.71	Facility		$501.19	$1,445.44	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $398.11	Professional		$229.09	$288.40	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,778.28 / $1,819.70	Facility		$891.25	$1,778.28	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $457.09	Professional		$239.88	$309.03	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $707.95	Professional		$208.93	$275.42	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $602.56 / $1,258.93	Facility		$234.42	$602.56	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $478.63	Professional		$354.81	$426.58	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $616.60	Professional		$323.59	$389.05	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $2,691.53	Professional		$1,778.28	$2,691.53	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $933.25	Facility		$275.42	$426.58	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $512.86	Professional		$354.81	$389.05	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $354.81 / $354.81	Facility		$147.91	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $691.83	Professional		$147.91	$147.91	$691.83