Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.33 / $236.33 / $263.81	Facility		$236.33	$236.33	$263.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.33 / $344.40 / $576.99	Professional		$236.33	$344.40	$576.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $47.26 / $125.89	Facility		$39.36	$47.26	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.68 / $427.04 / $966.04	Professional		$364.68	$427.04	$966.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $99.00 / $148.47	Facility		$69.22	$99.00	$148.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $601.03 / $813.51 / $1,121.51	Professional		$601.03	$813.51	$1,121.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $589.54	Facility		$316.74	$316.74	$589.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $316.74 / $791.25	Professional		$269.23	$316.74	$791.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $583.49 / $583.49 / $700.19	Professional		$583.49	$583.49	$700.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $702.00 / $801.00	Professional		$393.93	$702.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $555.69 / $3,536.46 / $3,665.39	Facility		$555.69	$3,536.46	$3,665.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $344.40 / $847.67	Facility		$64.62	$344.40	$847.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $316.74 / $316.74	Professional		$269.23	$316.74	$316.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $583.49 / $583.49 / $875.24	Professional		$583.49	$583.49	$875.24
United Facility/Professional Professional Modifier Low / Median / High Price $241.50 / $287.37 / $625.72	Professional		$241.50	$287.37	$625.72