Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.60 / $549.61 / $1,244.43	Professional		$533.60	$549.61	$1,244.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $99,999.99 / $99,999.99	Professional		$1,420.00	$99,999.99	$99,999.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $616.00 / $900.00	Professional		$40.00	$616.00	$900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.94 / $677.94 / $677.94	Facility		$677.94	$677.94	$677.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.92 / $568.92 / $2,000.00	Professional		$568.92	$568.92	$2,000.00
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 $4,459.81 / $4,989.45 / $4,989.45	Facility		$4,459.81	$4,989.45	$4,989.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $677.94 / $677.94 / $677.94	Facility		$677.94	$677.94	$677.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Professional		$2,000.00	$2,000.00	$2,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,085.79 / $1,085.79 / $1,085.79	Professional		$1,085.79	$1,085.79	$1,085.79
United Facility/Professional Professional Modifier Low / Median / High Price $602.62 / $666.79 / $887.74	Professional		$602.62	$666.79	$887.74