Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,000.00 / $1,698.24	Facility		$346.74	$1,000.00	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $295.12	Professional		$162.18	$218.78	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $1,380.38	Facility		$691.83	$1,380.38	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $331.13	Professional		$109.65	$154.88	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $616.60 / $2,398.83	Facility		$69.18	$616.60	$2,398.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $549.54	Professional		$162.18	$213.80	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $457.09 / $912.01	Facility		$177.83	$457.09	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $371.54	Professional		$218.78	$302.00	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $478.63	Professional		$245.47	$302.00	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $2,041.74	Professional		$1,380.38	$2,041.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $707.95	Facility		$208.93	$331.13	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $398.11	Professional		$269.15	$302.00	$398.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $3,311.31	Professional		$218.78	$275.42	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $275.42	Facility		$114.82	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $478.63	Professional		$104.71	$112.20	$478.63