Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,905.46 / $3,235.94	Facility		$645.65	$1,905.46	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $524.81	Professional		$288.40	$380.19	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $2,398.83	Facility		$1,174.90	$2,344.23	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $416.87	Professional		$186.21	$239.88	$416.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $933.25	Professional		$275.42	$363.08	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $794.33 / $1,659.59	Facility		$309.03	$794.33	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $630.96	Professional		$467.74	$562.34	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $812.83	Professional		$416.87	$512.86	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $3,548.13	Professional		$2,344.23	$3,548.13	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $562.34 / $1,230.27	Facility		$363.08	$562.34	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $676.08	Professional		$467.74	$512.86	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $467.74 / $467.74	Facility		$194.98	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $891.25	Professional		$194.98	$194.98	$891.25