Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,148.15 / $1,949.84	Facility		$398.11	$1,148.15	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $338.84	Professional		$181.97	$229.09	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $1,445.44	Facility		$707.95	$1,412.54	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $707.95 / $1,122.02	Professional		$288.40	$707.95	$1,122.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $467.74	Professional		$165.96	$213.80	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $398.11 / $954.99	Facility		$190.55	$398.11	$954.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $426.58	Professional		$281.84	$309.03	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $489.78	Professional		$257.04	$309.03	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $2,137.96	Professional		$1,412.54	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $741.31	Facility		$213.80	$338.84	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $309.03	Professional		$281.84	$309.03	$309.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $4,265.80	Professional		$223.87	$316.23	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $281.84 / $281.84	Facility		$117.49	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $549.54	Professional		$117.49	$117.49	$549.54