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 $281.84 / $380.19 / $489.78	Professional		$281.84	$380.19	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $2,344.23	Facility		$1,174.90	$2,344.23	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,071.52	Professional		$426.58	$549.54	$1,071.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,047.13 / $1,318.26	Facility		$338.84	$1,047.13	$1,318.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $776.25	Professional		$275.42	$354.81	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $660.69 / $1,548.82	Facility		$316.23	$660.69	$1,548.82
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 / $3,467.37 / $3,467.37	Professional		$2,344.23	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $1,230.27	Facility		$354.81	$562.34	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $512.86	Professional		$467.74	$512.86	$512.86
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