Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.23 / $301.35 / $351.25	Professional		$170.23	$301.35	$351.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.11 / $99,999.99 / $99,999.99	Professional		$437.11	$99,999.99	$99,999.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $425.00 / $604.78	Professional		$300.00	$425.00	$604.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $827.00	Facility		$310.61	$310.61	$827.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.93 / $371.33 / $1,900.00	Professional		$205.93	$371.33	$1,900.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $118.20 / $118.20	Professional		$118.20	$118.20	$118.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,195.58 / $2,456.32 / $2,456.32	Facility		$2,195.58	$2,456.32	$2,456.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $827.00	Facility		$310.61	$310.61	$827.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.33 / $800.00 / $1,900.00	Professional		$371.33	$800.00	$1,900.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $534.54 / $534.54 / $534.54	Professional		$534.54	$534.54	$534.54
United Facility/Professional Professional Modifier Low / Median / High Price $296.67 / $328.27 / $437.04	Professional		$296.67	$328.27	$437.04